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813-780-0020 City of Zephyrhills Permit Application Fax-813-78G-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting V <br /> Owner's Name vc &011ATNIIR� Owner Phone Number <br /> Owner's Address 576Lf 2- Owner Phone Number <br /> Fee Simple Titleholder Name F owner Phone Number <br /> Fee Simple Titleholder Address <br /> 11'., 1 LOT# <br /> JOB ADDRESS 5 6-t 2— S . <br /> SUBDIVISION PARCEL IDJ16 -11 -oolo -C)%�Co <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL H REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q 13LOCK FRAME STEEL <br /> 4-- <br /> DESCRIPTION OF WORK Int"CA C-" C, ,IV R& <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> �XMECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS ................. FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN T/N <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN LYIN J <br /> Address F License# F <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> MECHANICAL COMPANY &JAI <br /> SIGNATURE REGISTEREO 14YPN FEE CURREN L_X±N J <br /> Address License# Wcigorn <br /> OTHER COMPANY E_ <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN Y/ <br /> Address License# <br /> IIIIItlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <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 onsitte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 clumpster: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 /> . . . . . . . . . . <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 (copy of contract required) <br /> Rerool's if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />