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rI, City of Zephyrhills Permit Application <br /> 813-780-0020 U Fax-813-780-0021 <br /> Jif,I <br /> Building Department <br /> Date Received 2� _ <br /> ' Phone Contact for Permitting ) goo L n— 1 a <br /> Q79®Qlt Una - Y9..3 <br /> Owner's Name Owner Phone Number <br /> Owner's Address OFILA5wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� <br /> JOB ADDRESS L3 IRV. <br /> �J LOT# <br /> SUBDIVISION PARCEL ID# � 2 LN-`.1 OZ 01300 — O <br /> LU <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR L <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK M j <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ai�LR0. <br /> BUILDI,= ` $ / VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL\J $ o "g AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ _19-11 ( �� � F <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONi. U J' l.(/1 <br /> =GAS ROOFING SPECIALTY = OTHER ���Q � S <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I ✓/A`/ <br /> BUILDER COMPANY �/ <br /> SIGNATURE REGISTERED �Jy�Y'N/� FEE CURRENNOUMF <br /> Y/N <br /> AddressVia • • 73-(1 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> 91719a98;Q77�799179.9999339a19933391193d991997979999 �i99991999339d9�1791 <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/Silt Fence installed, <br /> Sanitary Facilities&.1 dumpster;Site Work Permit for subdivisions/large 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,Stormwater 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 authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />