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I/ 813-780-0020 City of Zephyrhills Permit Application i9aT' /4 '7" Fax-813-780-0021 <br /> Building Department *TAV V 41 S/2 <br /> Date;Received I Phone Contact for PermittingNINE <br /> Owner's Name a0"N` CL-n o Owner Phone Number ��3 —r7 1 q <br /> Owner's Address l�f -'� S+ Z h 1��S 3 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,, 1 � 1 <br /> JOB ADDRESS O I t11 zk i 1 l (f 3 3 S' G LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL _ <br /> DESCRIPTION OF WORK A C Cv \ Q,L�- I lr)S+aAI .(I"' "D:�)�1,tk.2E <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MffC'HANICAL $ (`/l)n,(,D VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = j��((R//OVVOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . ._ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y( N _J FEE CURREN ) /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE` REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY -DO/ htr) jV' S7`' S' vtC <br /> SIGNATURE p n/ �� �p� �p REGISTERED r/ / N FEE CURREN Y N <br /> Address T U 73Ull W�- C" "I/'`�� �4`7 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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;(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 /> Directions: <br /> Fill out 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 Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not;over Counter if.on,public roadways.needs F. W <br />