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813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department s <br /> Date Received J(0 q Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> �'(� 1� Owner Phone Number <br /> Owner's Address �- <br /> Fee Simple Titleholder Name <br /> P Owner Phone Number <br /> Fee Simple'Titleholder Address /- t <br /> JOB ADDRESS U ze dA(1Is Pt 3��l LOT# <br /> SUBDIVISION �- PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _,NEW CONSTR 8 ADD/ALT SIGN C� DEMOLISH <br /> ' INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION �te BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> 1� <br /> `BUILDING.SIZE SQ FOOTAGE= HEIGHT - C19 <br /> 08UiLDING $ ��� <br /> > $OQ , VALUATION OF TOTAL CONSTRUCTION <br /> t <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY r = W.R.E.C. <br /> QPLUMBlNG 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION +tf q <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> f ff <br /> L <br /> BUILDER i, COMPANY <br /> SIGNATURELL:kREGISTERED Y N FEE CURREN Ly <br /> /N <br /> J. `` tt <br /> Address, �j�3 �� 1-1w 3 C__-1 1 C�1�ZL License <br /> i <br /> --ELECTRICIAN COMPANY <br /> `SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER"' <br /> SIGNATURE REGISTERED Y.,/ N • FEE CURREN <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. Y/N <br /> Address License# I . <br /> ,•, :-. . <br /> PRESIDENTIAL Attach,(2);Plot,Plans;.(2)sets.of Building Plans;(1.)set,of Eriergy.Forms;R-O-W Permit for,neW.c:onstrucuon;. <br /> - -, Minimum ten�(10),working days aftersubmittaFdate: Required onsite,Construction Plans;Stormwater'Plans.w/Si1CFence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisiorts/large projects <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)setsof Engineered Plans. <br /> "*PROPERTY SURVEY required for all NEW construction. <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 /> RetObfs.ifshingles Sewers Service-Upgrades A/C - Fences-(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />