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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Pe'm'tt'ng 1 <br /> Owner's Name <br /> 7lOwner Phone Number <br /> Owner's Address 33 (,c/� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 2 2 <br /> JOB ADDRESS nn..,✓,--J�y�� /��^ q 2 J� Z LOT# <br /> SUBDIVISION St/L Oaks Y/lus-1- PARCEL ID# 6✓'2-6 21"0)20-06000-6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL RF.RAIR RWC) <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION y0., BLOCK Q LFRAME = STEEL = <br /> 4'' <br /> DESCRIPTION OF WORK /11Dy� r �q t�gr��r� A2Ck� 1h ��r�►$r�CG/', -s <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT ZS(Y}ro�9-F-1- S ff041 <br /> BUILDING $ � Da VALUATION OF TOTAL CONSTRUCTION 1 r <br /> =ELECTRICAL $ I AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER Z { <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA x <br /> =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L11N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address F License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L1/N <br /> Address EE cc 1Liccensse# <br /> OTHER J W COMPANY Wr 0_J[.Q_ "` <br /> SIGNATURE 1 + REGISTERED Y/ N FEE CURREI. Y/N/ � <br /> Address �DIZ4 License# 1 L_6 � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <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,Slormwater Plans w/Sill 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-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 /> 4 4 <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 Atlomey(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 />