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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting CUM <br /> Owner's Mama 0 F-1 a I I <br /> _Ia� Z <br /> Qc� Owner Phone Number w <br /> Owner's Address Owner Phone Number <br /> -Fee Simple Titleholder Name sn me— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V 4 4- 1 j 2.5 10 Ltd er 2,f�' Y:5, /2 3 35 4 LOT# J3 1,k-,13 <br /> SUBDIVISION PARCEL I D 9 0 0 1-447 C? Z-50 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONITRR ADD/ALT SIGN DEMOLISH <br /> 25 INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q 'CC MM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK �5-lmliq F-dwily ne fiiei#ni�,L 1 -3 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT C�� <br /> ©BUILDING rx— <br /> VALUATION OF TOTAL CONSTRUCTION <br /> F71ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> -1"7 0,0 <br /> F-;71PLUMBING -e,,Q,00 <br /> [�MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EY ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 1 ,Yd <br /> ' ' FLOOD ZONE AREA =YES NO <br /> J'2, <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FErECURREI� YIN I <br /> Address 12(007- TA rvi Da License# FC-18 U),M� <br /> ELECTRICIAN COMPANY . Elerin C <br /> SIGNATURE REGISTERED Y/ N FEE CORREN Y_/N <br /> Address 131DO 16ASt License# I R, Q 639-1 I" <br /> PLUMBER > COMPANY h knq­0 Nitta; <br /> SIGNATURE )v REGISTERED Y 1 N 'FEE CURB it Y/N - 1 <br /> Address 2113 13617- License# 1C f-C <br /> MECHANICAL COMPANY P"q1-e5sIQe Aty, <br /> -f 'SIGNATURE REGISTERED / N FEE CURREN Y I N <br /> Address 5_q 0 7 hon C� t�J e W 2 a± f,,*_u 34 License 01 (A <br /> OTHER ra <br /> SIGNATURE COMPANY <br /> REGISTERED Y1 N I FEE CURREN YIN_JJ <br /> Address -sf Npu ?A tiC6 License# 1� 5-3 <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 wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivlsionsliarge 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&I dumoster.Site Work Permit for all new projects.All commercial requireffients must-meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction, <br /> _9_VVV11V1V1VV . . . . . . . . . .. . . . . <br /> Directions: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,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 ROW <br />