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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Own or Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E5 S M,"o I(A e-0 -doll ow Dv . LOT 0 <br /> SUBDIVISION P j U L V I PARCEL IN I�R Li (3 W I -(_)(_)q0 - 0 0 - iDW <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _R NEW CONSTRR� ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED;USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 144444444444444W I-P.1 1,11111 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING- 1$ aco. oD I <br /> =MECHANICAL $ ] VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .......... ....... .......................... ......................... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN LiLN-i <br /> Address License# <br /> PLUMBER COMPANY ffif�Ylo 6( wt 419clfl on <br /> SIGNATURE f REGISTERED I Y/ N, . FEE CURREN- VY-1 N <br /> Address I ..License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I..Y/ N FFE9URREh_ <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y N... I FEE CURREN <br /> Address License#- <br /> DUN ...... ............... <br /> .... ........ <br /> RESIDENTIAL- Attach(2)Plot.Plans;,(2)sets of 66Ik1In'g.PIa­ns;(1)set of Energy Forms;R-0-W Permit for now construction, <br /> Minimum ten(10)working,days.after submittal date.w Required onsife.'Cohstr6clion-Plans;-Stormwater'Plans wl Silt Fence installed, <br /> Sanitary Facilities-&_1.durnpster,•Site Work Permit for subdivision6flarge projects"- <br /> COMMERCIAL Attach(3)complete sets of Building' Plans' plus a Life Safety Page;(1)set of Energy- Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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)"oets of Mig1heered-Plans.-- ­ -I <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 11511, C <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.- (AIC 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 /> DYER THE COUNTER PERMITTING ,-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if-on public roadways..-needs ROW <br />