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i 813-760-0020 City of Zephyrhills Permit Application Fau-813-780-0021 <br /> li Building Department <br /> , li <br /> II Date Received Phone Contact for Permitting — <br /> Owner's Name ���'1 Q /�(, /e�� Owner Phone Number J�✓ � Jf0 <br /> i �/ <br /> �I Owner's Address Ti pY� /� ` /7'�� L Owner Phone Numtrer <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> � <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS C 1�'� C r JT6 LOT# � <br /> SUBDIVISION � 'V � � PARCEL IDlF — �-GD�a� V �O� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSiR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK c�[ / O(� L � /`6 /� <br /> BUILDING SIZE SQ FOOTAGE � � HEIGHT ! <br /> QBUILDING 5���,'�� VALUATIONOFTOTALCONSTRUCTION ' <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ / <br /> / <br /> QMECHANICAL $ VALUqTION OF MECHANICAL INSTALLATION /�'��� <br /> ^V\ <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER \ � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RECISTEREo Y J N FEE CURRFJ� Y/N � <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY � � ' <br /> -- �/ 9��t.�►+- C . <br /> SIGNATURE rtECIS�aEo Y/ FEE CURR Y!N <br /> Address ����� ���Cifi/ �� . (,. . �J� y,f License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIItII IIIIIIIIilltlllllllllllllllltllllltl <br /> RESiDENT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new cdnstruction, <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work PermR for subdivisionsAarge projects <br /> COMMERCIA� Attach(2)complete sets of Building Pians plus a Life Safety Paga;(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 8 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 /> Fill out application completety. <br /> Owner 8 Contractor sign back of applicaGon,notarized <br /> If over 32500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizfng same <br /> OVER THE COUNTER PERMITI7NG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Drlveways-Not over Counter if on pubiic roadways..needs ROW <br /> �I <br />