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I ' <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Owner Phone Number' 2 t 7- 9 r 9 e y3.5'"Q <br /> Owner's Address i/.3 sf lumad� eo ic;4 �S���1 Owner Phone Number <br /> Fee Simple Titleholder Name �- �7 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7'/3 4 Sr � ae LOT#. <br /> SUBDIVISION -�l/�f/��ld PARCEL ID# dU 2,6". 2- Ot00-007da02-rO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR ADD/ALT. Q SIGN 0 DEMOLISH <br /> e INSTALL ' 8 REPAIR, <br /> PROPOSED USE Q SFR Q_ COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL [� <br /> DESCRIPTION OF WORK 7 d- 7 / L.) "{ Ale 6 d" 73-A L/ /y <br /> BUILDING SIZE I SO Fit)OTAGE HEIGHT <br /> =BUILDING $ -o VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL,INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS i� FLOOD ZONE AREA =YES NO <br /> :BUILDER COMPANY AE"01-e <br /> SIGNATURE REGISTERED I 'Y N FEE CURREP <br /> Address L s� License# % 7 fS <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y L N- FEE CURREN Y%N <br /> Address License# <br /> .PLUMBER COMPANY <br /> ,`SIGNATURE REGISTERED Y/ N j FEE CURREh Y/'N' <br /> Address License#' <br /> MECHANICAL 'COMPANY <br /> SIGNATURE REGISTERED FEE CURREh "' Y LN' <br /> Address License# <br /> OTHER COMPANY' <br /> SIGNATURE REGISTERED Y!`:N: 'FEE CURREA Y/N <br /> Address License <br /> ---RESIDENTIAL. Attach(2)Plot Plans;.(2)sets of Building Plans; set of•Energy.Forms;,R-O-W.Permit for new;construction; <br /> Minimum ten(10)working days after submittal date:-Requlred-onsite,`Constructon Plans;Stdrmwatet Plans:.w/,SiltFence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsliarge.projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans-plus a Life.Safety Page;.,(.1)'setof Energy Forms.R-O-W.Permit for new,construction. <br /> Minimum ten(10).workirig`days-afterautimittal;date: d Require onslte,Construction Plans;=Stormwater Plans,w/Siit:Fence:installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commerclal'requirements must meet compliance . <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY.required for all'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notarized - <br /> If over$2500;a Notice of Commencement is required. (A/C upgrades over$7,500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot(Sunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />