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813-78M020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ,Date Received Phone Contact for Patmlttin \ — <br /> `�ITTi'7 f7' <br /> Owner's Name ( Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U ` -E' vN LOT# <br /> SUBDIVISION e CnC10 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT `J SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [] COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE so FOOTAGE HEIGHT C� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> e-;;�UMBINO $5N"Co <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `•,'� <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y I N <br /> Address Ucense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA LjLNJ <br /> Address License# <br /> PLUMBER rli' _ ,Q1 COMPANY I tQ P(--a5 <br /> SIGNATURE CDC. <br /> REGISTERED Y N FEE WRRE� Y/N <br /> Address 1.• � :+ � 1oof License# F-gr- lk-un�-AsL9 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA LXLN <br /> Address License# -- — <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License 0 <br /> 111111111111111111111111111111111111111111111111111111111111111111t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(11i set of Eneroy Forma;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plane,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonanarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Fortes.R O-W Permit for new construction. <br /> Minimum ten(10)working days after aubmlltal 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 /> DlPoaiona.• 1 1 1 1 I I I i <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2E00,a Notice of Commoncoment is required. (A/C uPBradoo ovor*7600) <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 /> Remora if shingles $aware Service Upgrades Aie Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways.,needs ROW <br />