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-- ---- uIty of Zephyrhills.Permit Application Fax 813-780-0021 <br /> Building Department <br /> Q <br /> Date Received SbPe � 'LAM <br /> Phone Contact for Permitting <br /> Owner's Name Owne:P one Number . . . . (0 <br /> Owner's Address -Fie A e co 70 93S 1,-Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JV A,-,i I <br /> JOB ADDRESS LOT <br /> SUBDIVISION "baa� Yc4ARCE'l ID#�35- 7 Z4 OkS-OC--'�1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED NEW cbNSTR ADDIALT L SIGN DEMOLISH <br /> If INSTALL R REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER F_ <br /> TYPE OF CONSTRUCTION E_2- BLOCK 0 FRAME, STEEL <br /> DESCRIPTION OF WORK I � 7I'd%�fjq U _&C\(_ <br /> N I <br /> _J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BU DING lip 101;7, VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> &T, <br /> =MECHANICAL $ 006 VALUATION OF MECHANICAL INSTALLATION <br /> 15- <br /> F-1 GAS 'ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> %R <br /> BUILDER COMPANY c- <br /> SIGNATURE REGISTERED Y I N FEE CURREN LyLN__J <br /> Address MrA License# E:a co,s_ct <br /> ELECTRICIAN COMPANY :�4rnAO (71fIC-1-d <br /> SIGNATURE REGISTERED _Y1 N1' FEE CURREN Y/N <br /> Address &A3 License# C,13 o <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N IFEEIbURREN 7/N I <br /> Address E151b HeMdeh ftAfs-kiom �A"ud License#1 CF-C)I Z:7- 13 <br /> MECHANICAL -COMPANY Oro q_z r -s� Skk <br /> SIGNATURE • REGISTERED VVN FEE CURREN Y/N <br /> Address 1-51) DSl\esr C4— kbz �A 0,6_q --?L1M License# I CA CO 33 W <br /> COMPANY &-rtji !H - - <br /> OTHER , <�:,) / C-p6row �asLs <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N -1 <br /> Address 0(1+8Z. 3 vs-31 License 9 <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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fo-r'ms.R-0-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&1 dumpster.Site Work Permit for all new projects.All commercial requlrbments must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> v . . . . . . . . . . . . . . . . . . . vvvvvv1 . v . . g . . . . . . . . . v . . . . . . . . <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. (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-Not over Counter if on public roadways..needs ROW <br />