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813 7Bo-0o2o City of Zephyrhills Permit Application <br /> Fax-813780-0021 65 4I '3(?L <br /> Building Department 7A4r ( � <br /> Date Received Phone Contact for Permittin — �f� <br /> -aaaaaaaa aaIt1a <br /> Owner's Name V��V �G /1/ Owner Phone Number l7lJ �li1 <br /> Owner's Address 3fl 5- 111/ /d Owner Phone Number <br /> Fee Simple Titleholder Name I /L /f Owner Phone Number <br /> Fee Simple Titleholder Address IAIA <br /> !� {�/ <br /> JOB ADDRESS )/_��d �//A` ��)��/JnLOT# <br /> SUBDIVISION LL�H /� /�f� PARCEL ID# S+J�/""�/ /L (/c/r eO 0 /D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR//ZC/-{/9CC <br /> PROPOSED USE f;3;q SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = JBLOCK / = �(FIRAME/� Qy A STEEL <br /> /!Q �! /� <br /> DESCRIPTION OF WORK r'!r'�/Ki (i`�r/",` J C//� ✓1 /I��� 0 A/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -CtE C><E"ESE"SLZ-EZE-E-�>< €>Ct€L"i E-t:ZEE"i IE->fCE"€CE�E'ilZ"tC€"CSL7fE"CiCCEI <br /> =BUILDING $ 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 = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License#/�,(�y <br /> PLUMBER COMPANY ;�f� J/Z d 257e ,,�/ ✓— <br /> SIGNATURE �^ REGISTERED Y/N FEE CURREN Y/N <br /> Address �� L P.ff { ////'• License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LILN <br /> Address I License# <br /> a a a laaali.aQ.aaaaa.!■aaaaa"aa41119aatli aI111.aaaaa.aaaaaar.ia.a:aa11aaaaa"111111act <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial 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$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorWng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroots if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />