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City of Zephyrhills_.Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received J±5k.-,,e_CAU6)6Rk_0 cAekOr�00, CON) <br /> Phone Contact for Permitting <br /> Owner's Name nckrn �rx Owner Phone Number <br /> Owner's Addressh7_(002,,._ iff0M)DK 17_ftpn. M� 3�L Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION J PARCEL ID#J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q 'COMM OTHER <br /> TYPE OF CONSTRUCTION Vi BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK ww) `:51mlp piwdq re slafric-c- t-) ee� f-,04h I - <br /> \J V I <br /> BUILDING SIZE SQ FOOTAGE FZj 5J 77 HEIGHT 7 <br /> E25BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Fv--7 ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> [ZIPLUMBING <br /> x 0a 0 <br /> Fv_?JMECHANtCAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY c &4rja lre <br /> SIGNATURE REGISTERED Y/ N FEI--_CURREn Y/N I <br /> Address �0?_ License# I CB co,sac) 7 <br /> ELECTRICIAN COMPANY Eler+n <br /> SIGNATURE REGISTERED FEE CII)RREN Y-7 N <br /> Address E400 at jbhlaz!� Nu `5�-(Ond License 0 1 Ec 0 6-3:1 JS_ <br /> PLUMBER COMPANY el in <br /> > <br /> SIGNATURE FU REGISTERED Y/ N 'FEE CURB N Y/N - <br /> Address bI.6, Rr�v RZ-1l3 T-Moa License# Ei��C 6 91 <br /> I proj - <br /> MECHANICAL COMPANY !j i-e JQ A-i y- <br /> SIGNATURE REGISTERED I -Y(/'N_ FEE CURREN _t��/N <br /> Address 5-qo � tip License# I CA ( t)33 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ZLN _JJ <br /> Address J License# I ar :,I <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 wt Slit Fence installed, <br /> Sanitary Facilities&I 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/Slit Fence installed, <br /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requirements must-mee't compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pks. <br /> .*."*PROPERTY SURVEY required for all NEW construction. <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(Plot1Survey/Footage'),:­­ <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />