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01 # fic, i <br /> 813-780.0020 City of Zephyrhills Permit Application Fax-813-7110.0021 , N �- 7 " <br /> Building Department <br /> Date Received Phone Contact for Permittin4 If AIA)'T`I tP'TT`st T — un <br /> Ownoes Namo Owner Phone Number I <br /> Own..'.Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Foo Simple Titleholder Address <br /> JOB ADDRESS 1 3 LOT ft <br /> SUBDIVISION K)cx3(-e% J PARCEL ID# 7 (.D—Z ^ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT [� SIGN 0 Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q r w L <br /> DESCRIPTION OF WORK \ v� } 78' <br /> ,.��t� ��tpFT <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� e� ) <br /> �SUILDING S �Y1lflyl J w�` <br /> (01 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE = PROGRESS ENERGY = W.R.E,C. <br /> =PLUMBING $ ' <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1. FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY L L e S l4c i lie. C.eN T,4?-A 5 L-L-`, <br /> SIGNATURE _ REGISTERED I Y/ N FEE CURREr I Y/N <br /> Address P O -75 t'' ci a f AN tT- License 2 le- <br /> 2- <br /> 3 SMPA <br /> 74 <br /> ELECTRICIANF COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREr /Y N <br /> r <br /> Address I License 0 F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK <br /> Address License A <br /> MECHANICAL COMPANY <br /> _ SIGNATURE REGISTERED —Y 1 N FEE CURRFh Y I N <br /> Address License$ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREN Y/N <br /> Address License$ <br /> trtttlrltlrrrrlrrlrlrrrrrrrrtlrrrlrrrlrlrltlllrrrlrrrllrrlfrrltlrrl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permil for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsho.Construction Plans.Stormwater Plans w/Sat Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page:(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(W)working days after submittal date Required onsite.Construction Plans;Slormwater Plans wl Sill Fence installed. <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all now 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 /> -- l i L l l i t i Ll LLB I L11 it I I i l <br /> Diractiona: <br /> Fill out application completely. <br /> Omar E Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement la required. (A/C upgrades over$7500) <br /> Agent ifor 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(PlbUSurvey/Footage) <br /> Driveways-Not over Counter if on public roodways..needs ROW <br />