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813-78MO20 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> 3 <br /> Date Received Phone Contact for Pennitting ('6 1A I I — <br /> Owners Name MkC-IL Ut �f.� Owner Phone Number <br /> Owners Address an *f% . -51E ft� Owner Phone Number <br /> Fee Simple Titleholder Name I—/�I—'f, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS %\ki. 99VLn <br /> __ h11� '-i L LOT# <br /> SUBDIVISION S PARCELID# —akR-6t\` <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK inm ci <br /> �f ,,..,BUILDING SIZE C>--7 SO FOOTAGE HEIGHT <br /> BUILDING S / VALUATION OF TOTAL CONSTRUCTION <br /> 1X =a <br /> ELECTRICAL S r AMP SERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> � lJ <br /> =PLUMBING S=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION 00I <br /> 411 t <br /> GAS ROOFING SPECIALTY r^-7 OTHER 1Vl fY^! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER l z�` COMPANY <br /> REGISTERED I� ,FE '1 n <br /> SIGNATURE ` <br /> Address Y/' , 3 7D License# C_rl', <br /> ELECTRICI / COMPANY `h n e Ir <br /> SIGNATURE REGISTERED K Y N I FEE CURREn I Y/N <br /> v <br /> Address 1 716A cll 3 3 License# EC 1 300 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y1 N FEE CURREN Y1 N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> IIIIIIIIIItltlllltllllllllltlltllllllllllillllllltlllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;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 subdivisionsilarge 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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for 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 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. (AIC 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 />