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U22 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department nn,, 11 (� (`�r� (� <br /> Date Received — Phone Contact for Permitting ( qLA I ) S :"t"1"1 <br /> a alaaaae rr',� [' `' laeaa 11 Q /r <br /> Owner's Name V J 1/ n ( Ow`erP one Number OLIL SB —45I CI <br /> Owner's Address 0 t it .1 ln�1t,�E,►•,WwOR•wner Phone Number J C <br /> 52$� <br /> Fee Simple Tideholder Name N <br /> hhP. Owner Phone Number J 5 <br /> Fee Simple Titleholder Address F�, <br /> JOB ADDRESS t Z LOT# <br /> SUBDIVISION U I PARCEL ID# — —0010 <br /> ,,,-.����///V e__n IC(OBTAINED FROM PROPERTY TAX NOTE) <br /> WORK PROPOSED B NEW CONSTR ADWALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 06y /" <br /> BUILDING SIZE S E1 2 V SQ FOOTAGE F. 2 HEIGHT <br /> 'CE"E'E'E"E'"CE'E-E`E'E`E E'E CE E'E'CE-C CCC C'CE"CCC CY CE"E"E'E CE'E E E"E"E-X-C E-E'CC E-E-E CCCC E'C"E'E"E"EE"CCI <br /> BUILDING $` a5 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ N A AMP SERVICE = PROGRESS ENERGY Q /W,RE,C. <br /> =PLUMBING S L3 <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION ��9 <br /> NIA <br /> =GAS = ROOFING d SPECIALTY = OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES �/NO 7,� <br /> BUILDER COMPANY SOIA+h Q rh pro 2 sYaT <br /> SIGNATURE ((�� REGISTERED YIN �1� FEE CURREN Y/N <br /> Address Zw 2) v/ pa,R P346 .# I C cc- <br /> ELECTRICIAN p COMPANY = N I P, <br /> SIGNATURE {V REGISTERED Y/N FEE CURREN Y/N <br /> Address -� License# <br /> PLUMBER I COMPANY N <br /> SIGNATURE p REGISTERED Y/N FEE CU REN <br /> Address r V A 'License# <br /> N MECHANICAL COMPANY K <br /> SIGNATURE N REGISTERED YIN FEE CURREN Y/N <br /> Address N IN License# N <br /> OTHER n COMPANY <br /> SIGNATURE A REGISTERED YIN I FEE CURREN YIN <br /> Address I License# <br /> I I I t Ran t an I s s a a I I I a I III III a a l s arms as I n a n 1 a■n a a s as t a s s a s F■ a E E s a I I 1 1 1 <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 onslte,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 Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onslte,Construction Plans,Storrmwater 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.(AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from mvner authorizing same <br /> ER PERMITTING (copy of contract required) <br /> !:=ol <br /> Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> ver Counter if on public roadways,.needs ROW <br />