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0OL 4 <br /> 813-780.0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 N� ��J <br /> Building Department <br /> Date Received ZED ZQ2 Phone Contact for Parmittln� <br /> .I I.T..I..r_ .T. - .. ...__ — <br /> Owner's Name Owner Phone Number —3 (p —7 <br /> Owner's Address 03 81f 1 C L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fes Simple Titleholder Address <br /> JOB ADDRESS �71—IO� al r�L' LCW LOT s <br /> SUBDIVISION L�1n'O}CMNJe PARCEL ID+f Jr— —Z —oit,Q^Qcom^ o2cl <br /> tOaTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK a l W ()Gaffe <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> 5 ILDING $ � �O(0r _ 9 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING s <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY L�,we`> <br /> SIGNATURE REGISTERED I Y/N FEE CURREl I Y/N <br /> Address cti%lAticir, t-T- Licenses C/eG I aG y 1 7 <br /> 3Z5?7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License s <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address Licenses <br /> MECHANICAL F COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREA I Y I N <br /> Address Licenses <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREI, <br /> Address Licenses <br /> Illtllllllll11111111111111111111Illlllllllllllllllllllllllllllllllt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) ,at of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsito,Construction Plans,3torwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster:Silo Work Permit for subdivtstonvIarge projects <br /> COMMERCIAL Attach(2)complete seta of Building Plans plus a Life Safety Page;(1)set of Energy Forms,R-O•W Permit for new construction. <br /> Minimum ten(10)w orking'days after submittal date. Required onsito,Construction Plans,Stormwatei Plans wt'Silt Fence installed. <br /> Sanitary Facilities&Velumpster.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 /> a tt r t rr � rctstttlaa..r •,a.� <br /> Directions: <br /> Fill out application completely. <br /> Owner 6 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 /> Rarpofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-.needs ROW <br />