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813-780-0020 City of Zephyrhills Permit Application Fa"13-780-0021 <br /> Building Department <br /> Date Received 10 0 Phone Contact for Permitting <br /> [a[[[[[a aaaaa <br /> Owner's Name � t OM Ot�+v�101� Owner Phone Number • ( ! Da" <br /> Owners Address ^1 tog I ZM Q ST• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,`` <br /> JOB ADDRESS E l v V 5-7 LOT# <br /> SUBDIVISION I PARCEL ID# 3 S 5-- 1`0 1 XQ—0 000o— 13(Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q//—� BLOCK 0 FRAME may= STEEL�Q ,I <br /> DESCRIPTION OF WORK C V-AL_ A/c— (`6Q�IpC��C6O� —��+1E1rM 1 'ex `Iv"rj <br /> BUILDING SIZE SO FOOTAGE I ! 1 S- HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> ®MECHANICAL $ / r/ %q VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address A 'l^License# <br /> MECHANICAL COMPANY 1/Z AI�1L yAT,� 606 N�j <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/ <br /> Address l l J C"AXC45^ 'qV t 0 4'EkA License# CAQ I! <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> ■■aa[aa[aas.aaaa■■aa■aaa �a[aaaeaaa[aa�aaaaa[aaaaaa �ataaaasaaaaaa[saal <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,Stonnwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 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,Stonnwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new 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 /> Olrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required.(AIC upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(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/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> 1 <br />