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• City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting asio CCCAUC� Caw— <br /> . . . . . . . .Owner's Name r nc Owner Phone Number <br /> Owner's Address Z 7-apApA 3?- Owner Phone Number <br /> Fee Simple Titleholder Name :sn Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ho r i/I LOTO <br /> SUBDIVISION PARCELID# 0136() QB CS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Net,) '5-4mle Piwdm reslJ#rc_(_ a& <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> so I <br /> =ELECTRICAL Z AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 0*% Alt C7-c�b 1 9 Ar <br /> =MECHANICAL $ s6 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING QSPECIALTY OTHER <br /> EY FINISHED FLOOR ELEVATIONS oo FLOOD ZONE AREA AYES NO <br /> . . . . . . .. . . . . . . . . . . . . ■. . . W . . . . . . . <br /> BUILDER COMPANY V\L C <br /> SIGNATURE REGISTERED Y/ N FEt CURREh L]LLN_J <br /> Address 12 OIf License# Fc-,—B E o <br /> ELECTRICIAN COMPANY . S+r-n CA Elerf-6 <br /> SIGNATURE REGISTERED Y/ N ' FEE—CORREN I Y_/N <br /> Address 13400 'S+ JABS &Au License# I Ec S 0 b3-�- '3_ <br /> PlumhPLUMBER > COMPANY - <br /> lnr4 6 <br /> SIGNATURE ,f/-, REGISTERED Y/ N 'FEE CURKtr, 1 Y/N <br /> Address .6, 73w IWA3 I <br /> License# C_F C 69141- <br /> MECHANICAL COMPANY A-IV, <br /> SIGNATURE E REGISTERED FEECURREN <br /> Address 0 han lvr & esA License# �cc,33 1 <br /> OTHER COMPANY G. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_Z_LN <br /> Address Nia F CA f-i dw '3�(05---s License# la:]S 252 3 3 <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/Slit 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 W/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 />