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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2k/ Phone Contact for Permittingg 35 g 7 -- Z9'S�v <br /> 1 1 1 1 1 1 1 1 1 1 1 i 1 C <br /> Owner's Name S1 O �1. �t/ l S Owner Phone Number 3—7 <br /> Owner's Address 5 S'� % Owner Phone Number <br /> Fee Simple Titleholder Name A-)Aq Owner Phone Number <br /> Fee Simple Titleholder Address N A <br /> JOB ADDRESS ,7 ZZ� � .•, L< h r'11llc 33SyZ LOT# <br /> SUBDIVISION c Z l {tl IS PARCEL ID# 17;ZJ.•Z 1•DOl o•11o7bo- B Il b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT �� SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Q v r R 2 8• <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> BUILDING $ /w/� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ /`7 7 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �� �'°' PANY <br /> SIGNATURE REGISTERED Y/ N I. FEE CUkkEN I Y/N <br /> t635 - FIB Sol..Address <br /> �� (a License# L'Q:r_,►2 '7Q I <br /> ELECTRICIAN l COMPANY <br /> SIGNATURE 1 v P, REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER �/ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL r COMPANY <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER ^1/ COMPANY <br /> SIGNATURE r " REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 11111111111111111111111'11111111111111111111111111111111111111111111 <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 /> __VSanita_ry_Facilities_&1 dumpster;_Site Work-Permit for_subd_utisions(large proiects__ <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. (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 publ'ic,roadways..needs ROW:-..-' <br />