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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ' Date Received Phone Contact for Pertnitting � �� /s'��I <br /> � -1-1-17-i �n I-1 fp <br /> Owner's Name 1 Vl` Owner Phone Number �J"'`1� :� <br /> Owner's Address Owner Phone Number <br /> Fee Slmple Tltleholder Name Owner Phane Number <br /> Fee Slmple Titlehalder Address <br /> J08 ADDRESS V� U LOT# � <br /> SUBDIVISION �L nV W,V��s PARCEL ID# e�'�ly`�✓V�� � v V� � � <br /> (OBTAINEO FROM PROPERTYTAX NOTIGE� <br /> WORK PROPOSED NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK `Y ��C) TI � 1"� I �� �� 1� � ��I��?`� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � `�'r�l'�-Il�/7+�vI��. <br /> i <br /> QBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER � COMPANY �/ i\�I '�`• <br /> SIGNATURE REGISTERED Y/ N FEE RRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> IAddress 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 /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIt1111111111111111111111I1t1111111111111111i1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit 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 Woric Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> I� Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> I SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPER7'Y SURVEY required for all NEW construction. <br /> IDirectfons• • • • • • • • • • <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a NoHce of Commencement is requlred. (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 (copy of conVact required) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> �--------_____-____-_ <br />