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! 813-780-0020 City of Zephyrhills Permit Applicat'IPJ3 x-813-780-0021 <br /> Building Department '� <br /> Date Received _Z2-1 Phone Contact for Permitting ��/ -L/32G <br /> 1 1 1 9 1 1 1 P 1 1 1 1 <br /> Owner's Name ell _ Owner Phone umber <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address //f� 77�r^ <br /> JOB ADDRESS ( f�c�YP�1 4VP., , L �77 LOT# LJ•� <br /> SUBDIVISION ( t?+'1 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR I ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL /(—j—� REPAIR <br /> PROPOSED USE ] SFR 0 COMM = OTHER C? <br /> TYPE OF CONSTRUCTION I�Jj BLOCK Q�� �)) FRAME STEEL 0 <br /> DESCRIPTION OF WORK l�!1 UJC�( [ fc:,,:P <br /> BUILDING SIZE SQ FOOTAGE HEIGHT II <br /> ®BUILDING $r Ct VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $f AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ -`o <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L (cf/�—J <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY �Q'1 <br /> SIGNATURE REGISTERED FEE CURREN I Y/N <br /> 'i <br /> Address j License# <br /> ELECTRICIAN Jq //�"' MPANY <br /> SIGNATURE REGISTERED / FEE CURREN Y/N <br /> Address �T }— License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> 1111111111111111111111111111111111111111111111111111111111111111111 ' <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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work 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 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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 (copy of contract required) <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 />