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813-780-0020 City of Zephyrhills Permit Application Fax-813a80-0021 <br /> Building Department <br /> Date Received PhoneCcnt�aermlttiallng ( � ) ��� ✓®t 1 <br /> MEN <br /> Owner's NameJUlf"i, �j,f 8, Oxmer Phone Number <br /> Owner's Address FG/ 1/` finer Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS &7—,9j f-Daird Kd LOT# <br /> SUBDIVISION PARCELID# O� t�,I DOJ® 011&00 ©O1;!0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT SIGN � <br /> DEMOLISH <br /> INSTALL REPAIR <br /> !r <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL p= <br /> DESCRIPTION OF WORK i C /� "'r n`�' " , a O t )� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING $ <br /> IECHANICAL S '36g6r VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURr_ REGISTERED I Y/ N FEE CURREn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREn I Y/N <br /> Address License# /�1�/ nn <br /> MECHANICAL COMPANY LN/�S (115� (i LNG <br /> SIGNATURE T/T/ 2REGISTERED Y/ N 'PEE CURREn Y/N <br /> Mo <br /> Address PA 3 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address I License# <br /> Ittlllttttllllllllllllllllllllllllllllltllltllllllllllllltlllllllll <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)worldng days after submittal date. Required onsite,Construction Plans,Stornwater 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 /> RII ou,.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 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 />