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'� -' ' 813-78D-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> _ • Building Department <br /> Date Recelved Phone Contact for Permittin �+3 �$a— = 0 9 a c� <br /> Owners Name �LC.� W '}�{. � Owner Phane Number a��'�/5'-��aD <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titlehofder Name /} Owner Phone Number <br /> Fee Simple Tttleholder Address <br /> JOB ADDRESS 3�a 3 �� "" �'O�S LOT# -5� <br /> SUBDIVISION PARCEL ID# �`�'�a�' C�� ' '��'�• ��(7[7• <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON5TRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK tJ S • 4�x'1D <br />� BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ 1 ��00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> II OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , ) , ��r�� J' <br /> �� U <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY S /' o�a�SA �/Iti�+ <br /> SIGNATURE REGISTERED Y/ N FEE URRE� Y/N <br /> Address � —Z 33 � License# C L V J 7S �� <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURREt� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 I 1 1 1 1 1 I i 1 1 1 1 I 1 I 1 1 I 1 1 I 1 1 1 1 1 1 I 1 I 1 1 1 1 <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 aker submittal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Perml[for subdivisionsflarge projects I <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.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 /> Directlons:• <br /> Fiil out application comple[ely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over$2500,a Natice of Commencement Is requlred. (AIC upgredes over$7500) <br /> " Agent(tor 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />