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City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received covv) <br /> Phone Contact for Permitting <br /> Owner's Name nr Owner Phone Number 1z_qi 1. <br /> Owner'sAddress Owner Phone Number <br /> -Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 114oesi M-1--aJ 64"'e'-_2g-p11.y&1yws, -33 / LOT# <br /> SUBDIVISION PARCELID# 32-Z-5ZI-004001300 -0Z?,Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e . INSTALL El REPAIR <br /> PROPOSED USE SFR 'co mM OTHER <br /> TYPE OF CONSTRUCTION V BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK :51mIg Fawlilm resiJea-L 3,5 Al -fy6a4 <br /> BUILDING SIZE sQ FOOTAGE F2,f_Y&A7/3#* HEIGHT <br /> QBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> F-:71ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> EZ:fPLU'MBING <br /> IZIMECHANI'CAL ' o oI VALUATION OF MECHANICAL INSTALLATION <br /> o - <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 132'Iflo 77 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YtN I FEtCURREi Y/N <br /> Address 0?_ me)g cwi ItrT414 I License# lcsco'sc� <br /> ELECTRICIAN COMPANY . Ar4 Ejer+p- r <br /> SIGNATURE REGISTERED Y/ N I ' FEE-CORREN L_Y!N <br /> Address jdlnz� License# Q()3-1 <br /> PLUMBER > COMPANY pluiane (z <br /> SIGNATURE REGISTERED Y1 N 'FEE CURB <br /> Address 6, BW RD?) 33GI 1- License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED f I'N i FEECURREN -ff_Y_LN _J <br /> Address Cf I�J e SA J(A 34�S__� License# CPrC033 � <br /> lae- <br /> OTHER COMPANY MA mah_rl <br /> SIGNATURE REGISTERED Y1 N 1 FEE CURREN Y/N <br /> Address &g 3 License# <br /> flItIlIIITIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIHIIIIIIIIIIIIIIIIIIIIIIIIIIIIll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans-,(I)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 wl 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requireffients 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. (AJC 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/Fcotag6),:­11..; <br /> Driveways-Not over Counter if on public roadways..rieeds ROW <br />