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813-780-0020 City of Zephyrhills Permit Application Fax 8i3-780.0021 <br /> a Building Department <br /> Date Received { G _ <br /> O - ° � Phone Contact for Permttttn - � � <br /> Owner's Name Owner Phone Number <br /> Owner's Address RUMw Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder.Address nn�� <br /> JOB ADDRESS e l pp eA +" LOT# <br /> SUBDIVISIONc � �U f� � PARCEt.tD# fiJ' - ID " � co rflwo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED-MSE 'SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION 0-. BLOCK FRA.M�Ej^� STEEL 0 <br /> DESCRIPTION OF WORK. I 1 �� i nS <br /> BUILDING SIZE' SQ FOOTAGk=: -.HEIGHT <br /> =BUILDING r$ <br /> $ VALUATION`OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING-: $ [Q CDV l� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING :[_] SPECIALTY'= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED L1412J FEE quRite, Y/N <br /> Address License# <br /> ELECTRICIAN_: - COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP'' �'Y/N <br /> Address License#; <br /> PLUMBER, COMPANY <br /> SIGNATURE II 1pp (nn REGISTERED Y./:.N-- FEE CURREI-. Y <br /> YIN <br /> Address6. iV ec r t Licens.Q# �� <br /> MECHANICAL _ COMP..AEtY .. <br /> SIGNATURE REGISTERED. .Y./ N FEE CURREK Y/,.N_ <br /> Addrea < License#.l . <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N .,. FEE CURREN <br /> Address - License# <br /> .RESIDENTIAL .: Attach=(2)PIof:Plaris ,(2)sets'of Building Plan`s;;(1)'sef of-i=nergy loins_Ra O=W Pegriit for oew constuction,. <br /> Minimumaerr(10).working;days after„submittal date.;Required onsite:Construction Plans Stcrmwater Plans Mil Si)t Fence installed, <br /> Sanitary Fadittie t;i;.1;dumpster;,Site Work,Permit for subdivisionsOi3r--pr ojects - <br /> COMMERCIAL Attach(3)complete sets 6f Builiiiiig Plans pills 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&1 dumpster.Site Work Permit for all near projeohs..All commercial requlrements.must meet compliance <br /> SIGN PERMIT Attach'(2)sets of EnglneeredfPlaris:.._- _ <br /> `P <br /> ROPERTY r®gulred 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 /> M Agent(for the contractor)orPower 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-Not over Counter Mon public roadways..needs ROW <br />