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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact'for Permitting`.. <br /> Owner's Name =0(Ar 5k.71cc Owner Phone Number 3®� <br /> Owinees Address Sq 2 ? l Owner Phone Number <br /> � c <br /> Fee SlmpleiTitleholder Name .✓,0v_1 V. Owner'-Phone Number <br /> Fee Slmple;Tltleholder Address L <br /> JOB ADDRESS V\ LOT# <br /> SUBDIVISION PARCEL.ID <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> I <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN [� = DEMOLISH <br /> B INSTALL e -REPAIR <br /> PROPOSED USE _ SFR Q COMM 0 OTHER <br /> TYPE!.-OF CONSTRUCTION' • _` BLOCK 0 'FRAME = STEEL 0 <br /> DESCRIPTION-Of WORK T J.aCQ `�C �Vtic TQ C2 c �� LC d <br /> 10000' 6' /cT <br /> BUILD1 G'SIZE SQ FOOTAGE=• HEIGHT <br /> =B,UILDING $ t D� VALUATION'OF TOTAL CONSTRUCTION <br /> { <br /> ELECTRICAL $ AMP SERVICE = PROGRES EN RGY W.R.E.C. <br /> =P,LUMBING $ <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLAT � <br /> i . <br /> =GAS 11' =- ROOFING 0 SPECIALTY 0 OTHER <br /> lea, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO r -;0 <br /> t v <br /> :.BUILDER i COMPANY ®✓�R 6�.n <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN <br /> Address License# <br /> `ELECTRICIAN. COMPANY <br /> `SIGNATURE REGISTERED Y/ Nj FEE CURREM Y/N. <br /> Address - License# <br /> 1 <br /> .PLUMBER 'COMPANY <br /> SIGNATURE REGISTERED Y/-N: FEE CURREIk. LY/N-J <br /> Address License#, <br /> :-`'.MECHANICAL-. COMPANY._ <br /> _`SIGNATURE-,`:_ <br /> '' '• REGISTERED Y/ N I FEE CURREK. <br /> Address License.# . <br /> OTHER'- ;r.._ :. COMPANY <br /> V'SIGNATURB r: REGISTERED Y/.N FEE CURREN Y/N <br /> Address: :r:, - license <br /> ::RESIDENTIAL Attacti'i 2"Plot"P,lans'2'sets=of Biilldlrit;Flarisf,1 sefi'ofEner' 'Fornis R=Q=]N Permit for'new.constniction,:,. <br /> T <br /> ;MinimumAen�(1q)zvyorking;;days iftei+'submittal.:hate.;7Required'onsite`Constru'ction'Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanita.;,Facilities;&c•1;:dum star;S[fe Work Permit-forsubdivlsionslla e` ro ec <br /> COMMERCIAL Attacff(2)'6mplete°sets of'Building Plans plus a Life Safety'Page;'(1)set of Energy Forms.R-O-W Permit fot 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 W.all new Otojeots:All commercial requirements.must meet compliance <br /> ,'SPER IGN- MIT -Attacli�(27sets_,._, ngineered„Flans ?.:•>s 4 s <br /> {r..,_... ****PROPERTY SURVEY required for,aILNEW•constructioni., <br /> 1 F III,:ouUapplication completely. <br /> OwnerA.Contractor sign-back.of application,notarized <br /> -If over:$2500;.a'Notice:of,Commencement Is required. (A/C upgrades over$7500) <br /> x' Agent,(for ftie-coritraotor)or'Power-_ofAttomey(for the owner)would tie someone with notarized letter from owner authorizing same <br /> OVEIt<THE COUNTER-PERMIT TING (copy.of contract:requlred) <br /> �ftroofs ifshingles Sewers .Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not overCounter if on public fdadways::needs'ROW: <br />