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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for PermittingC-00VII <br /> t Owner's Name Owner Phone NumberA I;L\3 i�91 I c <br /> ' <br /> Owner's Addressl )7-(goz":�:,I,CCDMb�r 077—annon 33 Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ST11,1aaVi\JP_jZeph 61l%Ift_3T;;q1 LOT# crh4i- <br /> SUBDIVISION I 'PARCEL 2-1 060 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADWALT SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE -hf- HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> C <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> = <br /> 1$ VALUATION OF MECHANICAL INSTALLAT MECHANICAL ON <br /> =GAS 1:2ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I ' ' — FLOOD ZONE AREA DYES NO <br /> 41 ), -Q,�71 - <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEft CURRET _YIN _J <br /> Address (407, It It ED-no 2)1- TA w License# scm:? I <br /> ELECTRICIAN COMPANY - Elerf_n- C <br /> CA <br /> Y/ N FEE-CORREN Y-7 N <br /> SIGNATURE REGISTERED <br /> Address [MD JOhlas QNY Zoa4fcd 3 License#'[EE 0 63-113- <br /> PLUMBER COMPANY kn1rin plithi6no (A <br /> SIGNATURE REGISTERED FEE CURRItt, _L� (N <br /> Address .0, BA)4 1-47-13 -TONa License# <br /> MECHANICAL COMPANY <br /> SIGNATURE /*N- FEECURREN -1��Y/N REGISTERED $?rl _� <br /> Address 54 0 r)on�V� 0 W 5_7) License# FZA_ c A n i <br /> OTHER r COMPANY r hC__DrJM1A 20-pfi, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y N <br /> Address <br /> License# I CJCC :1 2 52 3 3 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W'Permlt 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&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 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 dumoster.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. (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/Footag6) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />