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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department !� ,1 <br /> Date Received .�.fl phone Contact for Permitting (� f v C Q — v9 W ^7 <br /> Owners Name m( If( (Owner Phone Number <br /> Owners Address 3 5 NMl7n i i4�Ve VhA ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ` , <br /> JOB ADDRESS 365Z1 V aoim i Q '/_ LOT# <br /> SUBDIVISION OaK Dark PARCEL ID#0?--&-Z�—CMV_COMO— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [y SFR = COMM �J OTHER <br /> TYPE OF CONSTRUCTION t?f BLOCKn = FRAME = STEEL 0 <br /> DESCRIPTION OF WORK lice tV ce'rO I-1 �L <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> BUILDING ${�4�f�� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $`f AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING is <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY (1"]GC rtasa.cicmef <br /> SIGNATURE hh REGISTERED / N FEECURREN Np- <br /> Address 1&%\d 11 l f,/�l« License III C O <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURRENY/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIl111111111111111111111I1Illllllliilllillllllllllilllli <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 /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms,R-0-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 /> DireStits: <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(far 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 public roadways„needs ROW <br />