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813-780-00, City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> s <br /> Date Received <br /> A A Phone Contact for Permitting r <br /> Owner's Name V"(ar ctv► C11aUdr I(✓(r 1 Owner Phone Number ? ' fp�ZZ- <br /> wner's Address lP��lP �l r/ S e 't- r�i I�S ,y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address// ff [ r 7 r <br /> (� JOB ADDRESS (Q tP �R/Ij S �t r i JI ��, js T LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �. SIGN DEMOLISH <br /> e INSTALL R <br /> REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> eTYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = 1 L <br /> !DESCRIPTION OF WORK 1°C r r C� , (-( - �Q ��`" v1,c 1 a dL.�lti G"y-L, <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �^�O AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE --- -- - - "Iv REGISTERED Y/ N FEE CURREN , <br /> Address License# <br /> ELECTRICIAN�° COM PANY U1 N`Q� <br /> SIGNATURE �[ f �REGISTERED / N FEE CURREN Y/N <br /> Address tod y /r. r�+! f �C 3)j� License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE t REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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,Stormwater 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-0-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(2)sets of Engineered Plans, <br /> ****PROPERTY SURVEY required for all NEW construction. <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 Attomey.(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PEI.J111(ITTING (copy of contract required) <br /> Reroofs if shingles SeSi ers "'Service Upgra'd'di'"AfC-- Fences(Plot/Survey/Footage) <br /> :. <br /> Driveways-Not over Counter if od'putilic�"tdgd'ways':needs f O1N': ""�'� '�' '°'1"•'•" re:� ,it °. `'' '' <br /> A �5'CS,G't s,-;r� •- �' 4Str),"t�n:r; ,.r,. ':..,. ;.:3 <br /> r �:diJ'7nt T1i'•uL!..,� ."-^ `` ci`71-G•i:•.:'i;,;'tiJ:i�4Ji ••�'f:.:!n.J• ` 9 <br /> -. .. .. .,.a. mc,;zv,-,=.... . ...,.. -,(' - - - .r r...,u,-c..wa.,•.v...r�._. ..ra . ..,.. r . <br />