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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> r. <br /> Date Received <br /> Phone Contact4or Permitting- <br /> Owner's Name MO J2b d s. Owner Phone Number <br /> Owner's Address ( C " > Owner Phone Number <br /> Fee Simple;Titleholder Name o Owner Phone Number <br /> Fee Simple;Titleholder Address (' <br /> JOB ADDRESS ✓ LOT# <br /> SUBDIVISION- PARCEL-ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED EWCONSTR SIGN :0 Q DEMOLISH <br /> REPAIR <br /> t <br /> PROPOSED;USE. SFR 0 COMM 0 OTHER <br /> TYPEOF CONSTRUCTION BLOCK 0 FRAME. STEEL <br /> DESCRIPTION OF WORK L�j� " <br /> BUILDIiNG SIZE SQ FOOTAGE HEIGHT <br /> �. <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> G <br /> =E,LECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 4 •' <br /> =PAS = ROOFING Q SPECIALTY. = OTHER \\\ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :.BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRRFn <br /> Address License# <br /> :.`ELECTRI,CIAN., COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn,' <br /> Address' License# J r <br /> PLUMBER.,. �� ` 'COMPANY': :. .O <br /> SIGNATURE REGISTERED Y-/ N:-: :FEE CURREN '1YIN, - <br /> Address sfu�"� %v.�- License#; . , l 1 <br /> MECHANICAL COMPANY. <br /> SIGNATURE'" `f?` REGISTERED I Y/ N I FEE CURREn L.Y/N <br /> Address .:: : License.# <br /> .OTHER:; :•,COMPANY <br /> '.;-='SIGNATURES;.r;,a,r;':. -.. `' " REGISTERED Y/.N FEE CURREN Y/N <br /> `.L'icense# <br /> .:RESIDENTIAL` kRlofP.lans'2 sets of;Buildin -Plans 1 set'of Ener"`Forms;R=Q-V1I:Permit fornew.coostri�ction,' <br /> ..,r.,;-atMinimum>ten,(;10)vyoik ng;:days aftersutirriittal;date:':=Required onsite;'Gonstru'ctlon'Planb,_StorinwaterPlans /Silt Feince.installed, <br /> _.^ <br /> Sanita; Facilities.&v1;.dumpster rSife:W.ork Permit for subdiVlsions/large ro ects.:°, <br /> C:OMMERCIi4L Attacli��t2�)�cdmplete`sets ofBuilding°Plans plus'a Life Safety Page;(1)set of Energy Fonns.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 WO[k Permit fortall--new`projects:All commercial requirements must meet compliance <br /> 'SIGN` ER PMIT -,Attaoh"(27"s`"ets.of.Engineered Plans;i; <br /> .: .... <br /> PROPERTY SURVEY requlred for-aILNEW„constructlon.- <br /> ;Direcoons: - <br /> Ill out;application completely. <br /> Owner&Contractorsigmback.of application,notarized <br /> If-over;$2500;,a Notice.of:Commencement Is required. (A/C upgrades over$7500) <br /> "'•' ..AgenY(t6rttier6ohtf6dtbr),orPower,of Attomey`(fdr the owner)wouldSe someone with notarized letter from owner authorizing same <br /> ''zOVER THE COUNT_ER,PERMITpINO:,-».:. .(copy..of contract-sequired) <br /> Rerpofs:ifaFiingles Sewers .Service Upgrades A/C Fences;(Plot/Survey/Footage) <br /> 'Driveways-Not over Counter If on;public:roadways:needs`ROW- <br />