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SM780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( — <br /> TTTf-1TT"T' 1 , TTT'1 <br /> Owner's Name ^MkC—IL 5 LI.0 Owner Phone Number <br /> Owner's Address 4 . 5TE aloo Owner Phone Number 771 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address + ` <br /> J08 ADDRESS LOT# <br /> SUBDIVISION `TJ\� frC 006 PARCEL ID# —alLf-0 —M3Q-000W—cy <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM 4.� OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK 6D U <br /> BUILDING SIZ Y- 0 SQ FOOTAGE OO HEIGHT <br /> UILDING S I� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S 36 Y� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION (1^J <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> J <br /> BUILDER COMPANY r <br /> SIGNATURE REGISTERED ILY N FEE CURREf Y/ <br /> ' <br /> Address t License# C.r� <br /> 3 co�0 5 0 <br /> �^ <br /> ' ELECTRI'I COMPANY <br /> SIGNATURE REGISTERED I Y N I FEE CURREN I YIN p <br /> Address a Sf License# C )30 0 i♦�F� 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-0 W Permit for new construction, <br /> Minimum ten(10)working days after submittal data. 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 col Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *—PROPERTY SURVEY required for all NEW constnucton. <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. (NC 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 madways..needs ROW <br />