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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> w, <br /> Building Department <br /> Date Received L �Z/ 7 _ 2q d <br /> ( Phone Contact for Permitting <br /> Owner's Name J 1 eN GS Owner Phone Number <br /> I <br /> /� r! Q 4! <br /> Owner's Address b 2-X Z w il �p �r .✓n� Owner Phone Number <br /> Fee Simple7itleholder Name Owner Phone Number <br /> Fee Simple7itleholder Address 1� <br /> JOB ADDRESS 2-1 Z bdIF LOT# <br /> SUBDIVISION �l1V�— !�6 U r�� CEL ID# V J'Z6 Z1 '0ZO0 "-)� 0O " COO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> f e INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> , <br /> BUILDING SIZE SQ FOOTAGE I � HEIGHT t <br /> =BUILDING $ l 63 �'� VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONA),) <br /> =GAS 0/ ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 0 YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY �V �` G *�S nc <br /> SIGNATURE f REGISTERED Y/ N FEE CURREN Y/N <br /> Address 2-2- 27- µ \ ( pG� License# I CCG t3 2 1.310 <br /> 3?�u <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 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 /> 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 />