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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 Permitting 1 (n <br /> ......... ........ <br /> Owner's Name Owner Phone Number <br /> Owners Address 114U00 c4pRSS ST Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> VV'\ <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION PARCE <br /> L ioiijiRld 00q 0 00000-(:)q�)Q <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW-CONSTRR. ADD/ALT• SIGN- Q Q DEMOLISH <br /> :R INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> Lf <br /> BUILDING SIZE I SO FOOTAGE HEIGHT..C� <br /> N&A-9444441 I P44444-644444 <br /> =BUILDING <br /> VALUATION-OF TOTAL CONStkOCTION <br /> $ <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> 121PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> ........... .......................... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address L License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/-_N_ FEE CURREN L_yLfV <br /> _j <br /> Address License 0 q a�A <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N_j - FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N, I FEE CURREN Y/N <br /> Address License#- <br /> ............... ................H." <br /> RESIDENTIAL Attach(2)Plot.Plans;(2)sets-of 6uildihg.Plians;(1)set of-EniargyForms;R-O-W Per.mit for new.construction, <br /> Minimum ten(10)woZng days after-Subm'Ittal dat6.­ReqbIr6d onsife,:Cohstruction"Plans-;Stormwatef Plans w/Silt Fence Installed, <br /> Sanitary-Facilities&A.dumpteq Site Work Permit for subdIvIslonsnarge projects <br /> COMMERCIAL Attach(3)complete sets ci 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 w/Silt Fence Installed, <br /> Sanitary Facilities&I 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 /> 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 /> OVER THE COUNTER PERMITTING , (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if-pn public roadways..ne'eds ROW <br />