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City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received e-C46)0 i k-k Or�00 CO M <br /> Phone Contact for Permitting <br /> Number Owner's Name Owner Phone. . . . . . I UA ber <br /> n C <br /> Owner's Addressl e'fo M )-)!r 17aMp6i 3 3la 3�L Owner Phone Number <br /> 'Fee Simple Titleholder Name l ln Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 116,Z1124 Y,eif Y:5 <br /> LOT# 117 dze 1-4 <br /> SUBDIVISION kieMao J PARCELID#J _.32-25-ZI-004-0-013oo -01-20 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRE] ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL REPAIR <br /> PROPOSED USE 0 SFR 'COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> 04) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �UILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> 7, <br /> ✓PLU'MBING a 00= <br /> ©MECHANICAL $ d, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EYROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> REGISTERED Y/ N FEt CURREN N <br /> SIGNATURE E L J <br /> Address Melt WM 1,- Tamp License# [C-Sco M 2 <br /> ELECTRICIAN COMPANY <br /> 42 Eler+n r <br /> SIGNATURE REGISTERED Y I N FEE CORREN I Y__7 N <br /> Address 13400 �4 16sr License# -2, 0 634-!'Z�_ <br /> PLUMBER > COMPANY <br /> SIGNATURE REGISTERED Y/ N 'FEE CURR�Ith_ LLILN <br /> Address . IWAI T( License# <br /> MECHANICAL COMPANY PMqJ-f Y' <br /> SIGNATURE REGISTERED I'N I FEE CURREN 7f Z/N <br /> Address S7 7')L-,n},e. Cf W e 4 License# I 1 Y con <br /> ?I A M11A <br /> OTHER COMPANY M 0 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y L N _JJ <br /> Address 1319 S -Sl� 59 Npt� pc66 3 License# 1 Uf :1 S 2 5-2 3 3 <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/Slit Fence installed, <br /> Sanitary Facilities&I 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 Constructior(.' <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumoster.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 /> V V . . . . . . . . . ... . . . . . . . . . . . . .- - - - - - --- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - <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 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 />