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0/ #/327 <br /> r � <br /> 613-780.0020 City of Zephyrhills Perrnit Application Fax-813.700.0021T"If# s2,�/3 <br /> Building Department <br /> MnAiC <br /> Date Received Phone Contact for Permittln �tQQ <br /> _1 1_r..l..l_L_LT. ._..._...- _.__... .1.1.1..�`fT"7-1"7 _ `� . ._... <br /> Owners Namo C Owner Phone Number <br /> Owners Address Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1391AZ CadinalLOT M <br /> SUBDIVISION S PARCELIDO —Z <br /> (OETAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTRB ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM ur OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME lJ STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ny 1 ILDING S(pp tOn 2Q• VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is G�� AMP SERVICE Q PROGRESS ENERGY"Q W.R.E.C. <br /> =PLUMBING $ <br /> '=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I �{�i(afQS FivrtlQ C2n)+"_/_S L-L.L <br /> SIGNATURE REGISTERED Y 1 N FEE CURREh _,Y_!N <br /> Address p C $ License• _6 -. 1:zC`3 y i 7 <br /> 32.175 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRE), LIINJ <br /> Address License s F 7-- <br /> PLUMBER COMPANY _ <br /> SIGNATURE REGISTERED I YIN FEE CURREh I Y/N <br /> Address License Y <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREh LI.LNJ <br /> Address license>v <br /> OTHER COMPANY <br /> SIGNATURE l REGISTERED I Y! N FEE CURREN Y!N <br /> Address License R F <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111t <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 onsllo,Construction Plans.Stonnwater Plans w/Sat Fence installed. <br /> Sanitary Facilities&1 dumpster,Site Work Pemdl for subdivislonsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construction. <br /> Minimum ten(10)warking'days after submittal date. Required onsite,Construction Plans,'Stormwater Plans wl Slit Fence installed. <br /> Sanitary Facilities b 1 dumpster.Site Work Permit for all now 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 /> ttatts• s sttrtsirr1 - - - -. . . . . . . . . . . . . . . . . . . . ... . . . . . .. <br /> Directione: <br /> Fill out application completely. <br /> Owner b 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.1C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />