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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 )y� <br /> ` Building Department <br /> Date Received ��✓ S D <br /> Phone Contact for Permitting - <br /> -rrn-row. M r Q <br /> Owner's Name J"U1�6�-ANC Me Q Owner Phone Number <br /> Owners Address 600 IIh. T. ) t 5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> T 1 LOT#JOB ADDRESS 6005 IkA-, )TREEZ l3 <br /> SUBDMSION �ysGN SUB, PARCELID# oz.-'z6'2�-00�o-001Go-�ol30 <br /> - (OSTAINED FROM PROPERTYTA7t NOTICE) <br /> WORK PROPOSED ® NW CONSTRALL 8 REPAIR SIGN = = DEMOLISH <br /> PROPOSED USE SFR 0 COMM•i = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = <br /> aESo�>= e e 1 T1 G lt1GL )RE VLACF. o'eCEO w O <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE —� SQ FOOTAGE 21�0 HEIGHT <br /> =BUILDING S C� 1 IDS VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ v AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING g <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ® ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �1I1� COMPANY. <br /> SIGNATURE 1`1 J"'� REGISTERED I Y/ N FEE CURREN t,�Y/N <br /> Address License#(1 1v <br /> ELECTRICIAN N (A COMPANY <br /> SIGNATURE 1 t��` REGISTERED Y/ N FEE CURREN Y/N <br /> Address ►v IQ. License# I <br /> PLUMBER J n COMPANY' <br /> SIGNATURE t�1 REGISTERED Y/ N FEE CURREN wY,/N <br /> Address 1 !-1 License# `y <br /> MECHANICAL NJ A COMPANY I . N A <br /> SIGNATURE 1'1\ REGISTERED I Y/ N FEE CURREN �Y1/N <br /> Address A License# IV <br /> OTHER . COMPANY 6{�N�CEK PRA $ 1 VT 1.LG <br /> SIGNATURE. REGISTERED I Y/ N FEE CURREN Y/N <br /> Address loz2o H Nay RD, oT License# IC-CC 332D2� <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,Stornwater 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 Fortes.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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Aftomey(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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />