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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 pp p <br /> Owner's Name Q „� Owner Phone Number <br /> Owner's Address 3$5 �e �171`\ Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address 1\ M <br /> JOB ADDRESS S�1 td-1,, lec \'� c 7` LOT# <br /> SUBDIVISION V 1(J G PARCEL ID# '�G J O-CCrO 00—D9 7 ? <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION QC BLOCK Q,r �a FRAME/ `0( STEEL <br /> V 0 r l I <br /> DESCRIPTION OF WORK �J ' w -t v �1 eft \ J'l�U <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ "VALUATIO OF TOTAL CONSTRUCTION <br /> ap/70 /J <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ ^r Q C=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �>\(S , IN I y <br /> .QWt-P- <br /> =GAS = ROOFING Q SPECIALTY = OTHER I % <br /> FINISHED FLOOR ELEVATIONS FLOOD ZQ&AREA =YES NO <br /> 9rr L--,o <br /> BUILDER �IWPANY �n Cl� �S�• <br /> SIGNATURE �t 111 REGISTERED Ye/ N FEE CURREN <br /> Address 7 ��J�'�,� Von URS et� � � -License# <br /> ELECTRICIAN ` C,O PANYees� <br /> SIGNATURE f� REGISTERED N FEE CURREN N <br /> Address TO PS-Ok Sea, Z I1 License# I tC I 60D <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address License# <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,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 />