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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department �j ) <br /> Date Received Phone Contact�Permitfing (�131 I��— ✓`-' <br /> Owners Name �d 1 n / Owner Phone Number l'll✓ �v�y <br /> Owners Address 3`aC�7o ' h kk Zhl12'5 10owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n <br /> JOB ADDRESS 17 Lan d i' Ole-) LOT# <br /> SUBDMSION t a d —1 4S PARCEL ID# 3 025 aZ 0000 003� 00SN fi <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM �.J OTHER <br /> TYPE OF CONSTRUCTION Qnncc BLOCK/ Q D nFRAME Qy� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =FLUMBING $ <br /> MECHANICAL $Se/"✓ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURm REGISTERED Y/ N I FEE CURREK I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREr I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY - <br /> SIGNATURE j ), ) REGISTERED Y/ N FEE CURREN Y/N <br /> 'T Address 11 /^ 7;1IS License#I MCD <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, Y/N <br /> Address License# <br /> eeieeleeeeeeeeeeeeeeeeeeeeeeeeeeeeteeeeeeeeeeeteeeeleeeeeeeeeeeeeee <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 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,Stonnwater 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />