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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department rr � <br /> Date Received a s Phone Contact for Permitting <br /> Owners Name Lai(lei l.t.i //�� Owner Phone Number J <br /> / Owner's Address lr\ Ar Owner Phone Number <br /> r <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address t <br /> JOB ADDRESS %tz, ` au (Y)a r` I 1 t 1 ®-�T# <br /> 1.1 Q� <br /> SUBDIVISION (.!. It l��1 PARCEL ID# 3y- — - �, - b �b — ✓ _rD <br /> t <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE laibl HEIGHT "1 l <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE vV PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING IS <br /> \6� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY 1 '� <br /> SIGNATURE p � 11 REGGIIS/TfERED�1 2 Y/N^� FEE CURREN u YIN <br /> Address '�'{ �c. 1�--& r I J5S)✓ License# � VA �L <br /> ELECTRICIAN COMPANY \\ \ \1 11 <br /> SIGNATURE REGISTERED I <br /> �Y I N 'FEE CURREN Y/N —�( <br /> Address M,..Q, J d 1 on C\(7_5'11W# E C I bb�v 1 TQ 11^^ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED (�Y//NN �? FEE CURREN Y/N <br /> Address T I JJ Wense# ` 1 11 l <br /> MECHANICAL COMPANY C T <br /> SIGNATURE REGISTERED YIN 3 FEE CUR/rR�E�`N�M I YIN <br /> Address Q License# ' v % <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> i!i!!!!i!!iill!!i!i!!ii!!it!!!!1 <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 Persil 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 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 /> - <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$7506) <br /> '• Agent(for the contractor)or Power of A_ttomey;(fo"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 />