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Uity of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received <br /> 1Phone Contact for Permitting <br /> I I A A A A A a A I I I A A <br /> Owner's <br /> Name Inc- Owner Phone Number ---- <br /> Owner's Address lu,02,—ke' -\f�bM Owner Phone Number <br /> Fee Simple Titleholder Name ��QY2 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 'Z639- BMWs LOT# <br /> SUBDIVISION Da &�ARCEL ID# Z5;-; 0�ssr-,6 <br /> (OBTAINED FROM PROPERTY TAX NO'hCE) <br /> WORK PROPOSED- NEW CONSTR ADDIALT SIGN Q 0 DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK w Slfq\J_ �%�I to-n!&na- 3- 3ecl ?-- 'Saffi <br /> NJ 1 <br /> SQ FOOTAGE HEIGHT <br /> . --7 <br /> BUILDING SIZE E <br /> =PUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ((a <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> t <br /> =PLUMBING $ <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING* SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> N v . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY 7P atr <br /> SIGNATURE REGISTERED Y/ N7F' FEECUIRREN Y/N I <br /> Addresso-2Te1ercm-br- .aVWA License# I C <br /> ELECTRICIAN COMPANY e-jec4Y4 <br /> SIGNATURE REGISTERED I N FEE CURREN L_YLN _J <br /> Address %X'S- &AIW 5611�17A 3223::� License# =kl� oos <br /> PLUMBER COMPANY g yfl JI <br /> SIGNATURE REGISTERED Y/ N FEEbURREN I T/N <br /> Address S41 10M k)li a License#1 Cr-C 14 Z� )3 3- <br /> MECHANICAL COMPANY oft qvt S q r <br /> SIGNATURE REGISTERED V/'N I FEE CURREN\/ LLLN_J <br /> Address L5-q02 D),S1,e'y- 4- License# CO 33 W9 <br /> OTHER' & COMPANY H C16A0 I c� ?66-f-f!2s <br /> SIGNATURE <br /> REGISTERED I Y1 N I FEE CURREN L_YL/N <br /> Address ,fq-� 3f ,;q License Fc7c 13 2-s-F, <br /> I I I I I'll I I I I 1 11 fill off 111,01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 ns 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 176ims.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&1 dumpster.Site Work Permit for all new projects.All commercial requirementi must meet cQpllance <br /> SIGN PERMIT Attach(2)sets of Engineered Pks. <br /> ""PROPERTY SURVEY required for ail NEW construction <br /> I I y 9 y V V V <br /> Directions: - - - - - -- -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 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-Nat over Counter if on public roadways..needs ROW <br />