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city of Zephyrhills_Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 10 CWC'� ek orito C-0 M <br /> Phone Contact for Permitting <br /> Owner's Name clm n C Owner Phone Number <br /> Owner's Address 33 Owner Phone Number <br /> -Fee Simple Titleholder Name :570 me— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS P2-5 sn'-4'2 13i,14Z)i- L>lelv .� J LOT# O &Y-14 <br /> SUBDIVISION PARCEL ID# -25-Z ),940 140o -VOFd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 1 NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 *COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK .3 --s4�a <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> F-71BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> F7�ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> zzoo <br /> PLUMBING two <br /> �MECHANI'CAL 0oo VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 1�19 77 FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEr--CURRER Y/N I <br /> Address i Z Q <br /> I <br /> License# �cs co,scpc)� <br /> ELECTRICIAN /F, <br /> SIGNATURE COMPANY REGISTERED Y N FEE-CURREN Y7N I <br /> Address iMOD 3t Jb6s PkWti `,�-fo-rd License# jEC-_1-2, 0 63:1 IS- <br /> PLUMBER > COMPANY <br /> 1�;A <br /> SIGNATURE REGISTERED Y/ N 'FEE CURI�tl\ YIN .. <br /> Address �.6, RpV 27-11 TPINga 33612- License# <br /> MECHANICAL COMPANY proql-e I Q-e- k y- <br /> SIGNATURE � L I REGISTERED FEE CURREN <br /> Address 54 0 hOn�'P-r 0 W e SA �Q+ 34�$---I License# I cA cc 33 <br /> OTHER COMPANY r G2061�-I-rl <br /> SIGNATURE REGISTERED Y/ FEECURRE11 'L_YIN <br /> Address fQpu d3m 3y&5-31 License# 2 5-2 3 3 <br /> I ➢ IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII [ IIII [ IIIII [ IiIIIIIIIiIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans',(2)sets of Building Plans;(,'I)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 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,Sformwater Plans wl Silt 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 Plans. <br /> ****PROPERTY SURVEY required for all NEW construction, <br /> N V V V V N V W V V V I V V V I <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(PlottSurvey/Footag6),, <br /> Driveways-Not over Counter if on public roadways..needs ROW 1,4 <br />