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4 ,I <br /> 813-780-0020 City of Zephyrhills Permit ApplicationZA,V Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> 1 ' <br /> Owner's Name 3',(_Ownler Phone Number <br /> Owner's Address V_V1 U--t Owner PhoneNumber <br /> 'Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FCZ_7q LOT <br /> SUBDIVISION. PARCEL ID# 02-AP-11 -c0to _015000 '00-3t> <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF7 ADD/ACT SIGN DEMOLISH <br /> e !NSTALL F-] REPAIR <br /> PROPOSED USE F__] SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 1Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK RwUt, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ft iL ft M IL k M IL AL-L C X.C-11171VIE-WX <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL UD AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> '�o <br /> =PLUMBING L. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> @gaff -6990 0 04 9 -666*66 9 6*it 66 a off <br /> BUILDER COMPANY <br /> SIGNATURE F I REGISTERED FEE CURREN <br /> Address License# F <br /> ELECTRICIAN COMPANY v-\ E-4 rC� Lc_ -Lr\ <br /> SIGNATURE Rua &Tna/�, i REGISTERED Y/N FEE CURREN Y/N <br /> Address C) Goy-V�-1, _,�)Cx� e 'K,�i -3 '�1, License# 1 E(--t?)C>0 <br /> PLUMBER tPANY' <br /> SIGNATURE REGISTERED Y/N FEE CURREN y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# F7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <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,Storrnwater Plans w/Silt 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,Stormwater Plans w/Silt Fence installed, <br /> 'Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach -6f'Erfgineered Plans—_ <br /> PROPERTY SU RVEY'required,for all NEW construction. <br /> 4 4 %iffisse Giese-6-- 6-S-0-0-so <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contracibr'sign-,back of application,nptanzed <br /> If over$2500,a Notice of Commencement Is requlreid.'tke'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 />