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-81h80-0020 City of Zephyrhills Permit Application Fax-813.780-0021 <br /> Building Department , <br /> Date Received Phone q9 <br /> ntact for Permitting {3 t) — O c7 2 b <br /> aa>taitvi [ i <br /> Owners dme L:�t^ yy��`,�nOOp�erPho{{ne�Number <br /> Owner's dress 5 /OwnerPhorTB-Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# � o -a/ ' 00/D 0a&IQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED B NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING IZE SQ FOOTAGE HEIGHT <br /> -�-r t trcci[z'rczzz'�cr�� <br /> BUILDING $(�J?, O '� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ✓' AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �Ul� VV V/��v�v°u��'►,��'j,{" <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Alva <br /> GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY J <br /> SIGNATURE REGISTERED Y/N FEE CURRE Y/N <br /> Address ? License# <br /> ELECTRICIAN A_ � COMPANY O �•�...I ,a/ . <br /> SIGNATURE 9 REGISTERED Y/N I FEE CURREN I YIN <br /> Address License# iC (sooi 7 s3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> i�7i �lil7f1if1717l0i�1f [i�7 � /it [iiii �il�t{llli5iiili>ilii3ti�8lltliliii <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,Stornwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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.(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 />