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813-780-0020 City of Zephyrhills Permit Application Fax-e13-7e0-0021 <br /> Building Department -7NV <br /> G. <br /> v -- <br /> Date Received ��jj� 7 b, j <br /> 1 Q / Phone Cont/act for Permitting (U I� ) 1 C� — <br /> Owner's Name 1 Ll C 1�L /�uS�E'I i e-I/h� Owner Phone Number — <br /> Ownees Address I-r 1150 hC�Ua Ly el v' Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address `/ c J ►n <br /> JOB ADDRESS t,�I,,1�J Q �f 6h I re, 1 ^� LOT# n� <br /> SUBDIVISION VV L'CJ PARCEL ID# -Of _�I�� BOO QO - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q T <br /> DESCRIPTION OF WORK S/ / 3 + o sp1 14 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> MECHANICAL $ 15 U 0 VALUATION OF MECHANICAL INSTALLATION <br /> =cvks = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURES REGISTERED I Y/ N FEE CURREN LZ/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address n License# <br /> MECHANICAL ,v rI COMPANY PS 7 ^ <br /> SIGNATURE [�11��VV/{ REGISTERED Y/ N FOE CURREA Y/N <br /> Address f I Rd 711116 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addre.s License# <br /> tlltttllllllllllllllllllllllllllllllllllllllllllllltllllllltlllllll <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;(f)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 om 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 Up�rades,.A/C Fences(P1oUSurvey/Footage) <br /> r .. :.. 't <br /> Driveways-Not over Counter if on publicxpadways:.needs ROW! <br /> it•, <br /> (` e <br />