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813.780-0020 City of Zephyrhills Permit Application Fax-813a8o-0021 <br /> Building Department !1 Date-Received Phone Contact for Permitting 3L-0 3 <br /> ""f'IT7-7`1 I'7' T TTTTf <br /> Owner's Name 91. �Aoraskin Owner Phone Number <br /> Owners Address Owner Prone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS rL. 1k, LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = [� DEMOLISH <br /> e <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK - <br /> BUILDING SIZE St]FOOTAGE HEIGHT <br /> =BUILDING (� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> �LUMBINO <br /> =MECHANICAL 'J� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN L.X.LN <br /> Addreae License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURM <br /> Address c� License# <br /> PLUMBER _ COMPANY 1Q (� <br /> SIGNATURE �r�_^"ti \ REGISTERED Y N FEE CURREA�-+ Y/N <br /> Address C9�• ,-+ .v 10 License <br /> MECHANICAL COMPANY -� <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address (� (.icense# <br /> OTHER I COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> IilllllllllllllllllllllliIfIIt Ill 11111111111itllllll Ill llllll111INI <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 dale. 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-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plana w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for all new projects,Al commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •'"•PROPERTY SURVEY required for all NEW construction. <br /> • <br /> Ii.1 1 1 lii.l:.t.l.t t i 1 1 ■ ■ ■... I I I f l l l l <br /> Dlmalona. 1 1 I J <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of C,ommonaoment le required. (A/C up8radoo ovor$T600) <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 /> RerWs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Ddveways-Not over Counter if on public roadways..needs ROW <br />