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ais-7aa-oa2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �///D� <br /> r � <br /> Date Received �-Ls�((� Phone Contact for Permitting - <br /> �� <br /> Owner's Name .l t�6 �� 1-,n/� . Owner Phone Number p( 3--`�I J�- 7 / ) <br /> Owner's Address � .� C p ¢. „i� ��- Owner Pho�N'mber ' �j�3� �)7- �3G�tc� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S � LOT# C� <br /> SUBDIVISION � PARCEL ID# �K'2'�� L 1-�00 0 .�O f d 0��o$O <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADDlALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ME 0 STEEL � <br /> DESCRIPTION OF WORK �-�-015C � t(-.�.a.. '�'.t� vtr� p ; <br /> BUILDING SIZE Z�X�� �ra� ta r SQ FOOTAGE �3O 0 HEIGHT 3 / <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION e�rf cre.�-� w•r-� <br /> � SD� <br /> �ELECTRICAL $ 3�OQ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 2 00 <br /> �.PLUMBING $ 2 7 O O /� +��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �� i FLOOD ZONE AREA �YES NO <br /> f/oe� zZoNt X t z ��� � 1 q41 <br /> BUILDER COMPANY �<.I <br /> SIGNATURE ��'./� REGISTERED F�E CURRE� Y/N <br /> Address ,3�J� Cb e�,,,� f�r-- License# � -� <br /> ELECTRICIAN COMPANY Rt ts� E I�c�r��. � �ia �- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Q� 130/� o�2 �� •�� �G ;;� License# C G 1 3� � �3 f; <br /> PLUMBER A ` COMPANY r I.a'w,� Cr'q 4 �.��i'eJ N�- <br /> SIGNATURE ,� �"-'�-'�-� REGISTERED Y/ N FEE URRE� Y/N <br /> Address �� �ox 30�vaj �. 4 ���� � License# C FL �YZSGOZ� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <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 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit fo�new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silk 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 fo�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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />