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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrpent Date Received S , f� Phone Contact for Permitting o Ot ip� <br /> Owner's Name 1 I! Tall C] rr!(fOwner Phone Number <br /> Owner's Address 23(000M r� 1�1 Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1 II W hlr (�'r s r , LOT# <br /> II SUBDIVISION I Its am D " PARCEL ID# 34 a5 A 10160 ®0( � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED El INSTALL <br /> CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAI <br /> PROPOSED USE = SFR = COMM = OTHER Q <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 3s(�W11 6AIqbiDr s <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ I I (S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZI N <br /> Address License# / <br /> ELECTRIC COMPANY CrC,.n <br /> SIGN RE REGISTERED Y/ N FEE CURREN Y/N <br /> License# I ('. aLk 2 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address �M C1��� J License# ,I <br /> SIGNATURE MECHANICAL �Vl r y r REGISTERED Y/ N CFEE CURREN I Y/N ( I <br /> Address ( DQA ����License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 subdivisionstlarge 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)sets of 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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />