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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> • Date Received Phone Contact for Permitting •� L <br /> 1 1 1 1 1 1 1 1 1 1 1�4 1 <br /> Owner's Name t J��2 U `ice+l� Owner Phone Number MSG ! 4 r�V1YJ <br /> Owner's Address 3B 4 h �R.. Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address 2 / /� <br /> JOB ADDRESS ._JCS 4'5J h ��� tt t"�• "f2 LOT# <br /> SUBDIVISION \�E w�► PARCEL ID# I{��✓V�t —�I0'�A�JW 10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM E�& OTHER <br /> TYPE OF CONSTRUCTION =, BLOCK 0 FRAME _ $T <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> i BUILDING $ 1� O,QP VALUATION OF TOTAL CONSTRUCTION <br /> ZELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 0e, <br /> =MECHANICAL $ VALUATION OF MECHANILL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER �p/�n'1'flb��^ - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES IN {{{{� lll...VVV ��- <br /> Sc co <br /> BUILDER COMPANY _ <br /> rtuv►�abcd�. <br /> SIGNATURE REGISTERED l Y/ l " F E CURREV, LCey <br /> Address _ License# <br /> ELECTRICIAN COMPANY ��—��•"�777«<FFF--- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUM COMPANY <br /> SIGNATU REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE qq REGISTERED Y/ N FEE Cu REn Y IN <br /> Address 4—T 0� J� License# 0�9J�0 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsAarge 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(far 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />