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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department '>. <br /> Date Received -. 7a7 _44 q7 >1101 <br /> '- <br /> 2 Phone Contact for Permitting Pkt <br /> m <br /> Owner's Name 1 �I C •II Owner Phone Number $13-7 SAS- I C, <br /> Owner's Address _A - • • . ! 1� • j`. Owner Phone Number -- <br /> Fee Simple Titleholder Name �� Owner Phone Number <br /> Fee Simple Titleholder Address - .`}� Al` n <br /> JOB ADDRESS +a38 �1 .J 1 t Le_ _ LOT# 4 <br /> SUBDIVISION 29)1(1 -R+S PARCEL ID# t Q QC, 41`-not-i b -Q'�")1�/q/')`-�6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> Nov <br /> WORK PROPOSED NEW CONSTR_ ADD/ALT A SIGN I ] 1 I DEMOLISH <br /> INSTALL REPAIR <br /> ■ II <br /> PROPOSED USE I—I SFR I—I COMM I I OTHER c SA <br /> TYPE OF CONSTRUCTION I1 BLOCK I-1 FRAME I `nI ` STEEL I� I I <br /> DESCRIPTION OF WORK ,O (E1e -tic_) �1 Iv1�vc I lC_., 5p1 Er"I 1 <br /> C 0x)� <br /> BUILDING SIZE ���C�- SQ FOOTAGE HEIGHT - K/V J CC <br /> - 6 <br /> IMILMI VALUATION OF TOTAL CONSTRUCTION <br /> I—IELECTRICAL $ AMP SERVICE I-1 PROGRESS ENERGY I-1 W.R.E.C / / <br /> I (PLUMBING $ 2 X1/1_ ✓✓✓/// <br /> L CI; <br /> I-1MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i"Vl(,)�, <br /> ‘j <br /> I (GAS I I ROOFING I—I SPECIALTY I I OTHER /`/r'.,CCIf <br /> FINISHED FLOOR ELEVATIONS V V^ FLOOD ZONE AREA (-]YES NO <br /> 1 ' • • ' 111 • II11 ' • 1c' 1 IIII 1 " • 11 ' 1 ' I1 ' ' II1II <br /> BUILDER �� 0 4COMPANY -�'WI U.�1�`p <br /> SIGNATURE r _— 1 'j�' REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address License# cVC.D5(p(o`f" <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address License# <br /> MECHANICAL COMPANY <br /> - <br /> SIGNATURE REGISTERED Y/ N , FEE CURRE Y/N I <br /> Address # <br /> OTHER COMPANY <br /> SIGNATURE / REGISTERED I Y/ N I FEE CURREN I Y/N I <br /> Address s _/ License# <br /> 111II1111'1-1IITA 1111111I11111II1111II1111111II111I111I111 11111111111 <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(3)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&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 /> -I-0 • • I I I . I • • 11 • ' • ' ' • ' • ' II • ' II 11 ' • • 11 II ' • ' 11111 <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. (NC 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />