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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Date Recelved l2^7-ZbLZ Phone Contact for Permittin L 179 <br /> aaaaaaaa aaa�l■ <br /> 8 4 n <br /> Z6 68' <br /> Owner's Name G�� Owner Phone Number 3 7 Z <br /> Owner's Address R �c�q7` (� Owner Phone Number <br /> Fee Simple Titleholder Name /V `► Owner Phone Number IV <br /> Fee Simple Titleholder Address-� r ✓✓ y <br /> JOB ADDRESS �b W�[ 3rr, �J L I� (7� L LOT#{ <br /> SUBDIVISION (" PARCEL ID# -1-Z F9"� . 1 Z -p0-000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT L.J SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM <br /> TYPE OF CONSTRUCTION BLOCK Q ,FRAME <br /> 6 � (+STEEL = <br /> DESCRIPTION OF WORK .iJ�SIIr^� v _ V VL �1—��� <br /> BUILDING SIZE SC1 FOOTAGE® HEIGHT L_.=...bG1�.J <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> SE]ELECTRICAL $��, 7� AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN LKLN <br /> Address /1 License#� <br /> ELECTRICIAN _- COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N / <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED LyjN FEE CURREN Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREN LI.LN <br /> Address i License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ittlltfiitlititiiiatitllliititlltlttlttltttltiitiitittttttiiiiltits! <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perm it for new construction, <br /> Minimum tan(10)working days after submittal date.Required onste,Construction Plans,Stonnwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permitfor subdlvlslons/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 Weill:Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permitfor all new projects.All commercial requirements must meetcompliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FIII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2800,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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />