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813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 ^/ ���/// <br /> Building Department 7/V V' <br /> Date Received Phone Contact for Pormitting ",/ <br /> 1 #kiiowners Name Owner Ph ana N umber — <br /> owners Address Owner Phone Number --� <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> ` Foo Simple Titleholder Address <br /> JOB ADDRESS '1_` irl C L Z,LOT N <br /> SUBDIVISION IILY�-C--ur�ye PARCEL ID# - 0^ 0^ Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTRB ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 1n <br /> BUILDING SIZE l SQ FOOTAGE HEIGHT <br /> BUILDING S •�GO-7r W„.-T VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING s <br /> =MECHANICAL $ VALUATION OF MECHANICAL'INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY i :�(,&fej I� ,rt1Z t~LnJ+�fZS l LL <br /> SIGNATURE REGISTERED Y/ N FEE CURREr I Y/N <br /> Address r7c 41'- 7:'>(�' Cr (AEI h'L License s ;1 7 <br /> �7I 3 <br /> ELECTRICIANF I COMPAPA <br /> NY <br /> 'REGISTERED REGISTERED Y/ N FEE CURREn Y/N <br /> Address F License V <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK I Y/N ' <br /> Address License ill <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREJ- I Y/N <br /> Address License N <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILN <br /> Address License* <br /> II IIIItIIIlllllllllllllllllllllllllllllllllllllltl111111I11i1111111 <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 onsllo.Construction Plans,Stomrwater Plans w/Set Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sots of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required ensile,Construction Plans,Slormwater Plans wl Silt Fence Installed. <br /> Sanitary Facilities&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 /> Direction.: <br /> Fill out application completely. <br /> Owner b Contractor sign back of application,notarized <br /> Waver$2500,a Notice of Commencement is requl red. (A/C upgrades'ovor 37500) <br /> •• Agent(far the contractor)or Power of Attorney(for the owner)would be someone vrilh notarzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plbt/Survey/Footage) <br /> Driveways-Not over Counter if on public roodways..needs ROW <br /> I <br />