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I <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received LQ _0 1 Phone Contact for Permitting <br /> TITTI—IT7— `r LTD <br /> Owner's Name �k tS t.�U C 0 eS Owner Phone Number <br /> Owner's Address \ h�, 1• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addre <br /> JOB ADDRESS r VIMl �r- �yj A- �j LOT# <br /> SUBDIVISION CCit t I1� ) PARCEL ID# C`Zr&q-2A �'0D, �7�Z� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION FVI BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK I Z I Gm fmr dw <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ®BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ N�3 f <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 1(� COMPANY y l <br /> SIGNATURE �G`�( REGISTERED Y/ N FEE CU EN Y/N <br /> Address ? 1 License# <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN <br /> Address License# ! <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111 <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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge 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 />