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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received Phone Contact for Permitting— _.I(S- <br /> Xccca= <br /> Owner's Name Owner Phone Number <br /> Owner's Address!- Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS go Rf e,-kv Ln. LOT 0 <br /> 5o—1 PARCEL ID4�q_ u_A oo a)D-p-1 <br /> SUBDIVISION H(ldf-n `R) <br /> (OBTAINED FROM PROPEffTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR- ADDIALT- SIGN- DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED-USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT] <br /> =BUILDING VALUATIONi OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> E p <br /> * LUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. NO <br /> ................. .......— <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRF-11 <br /> Address License#,F- <br /> - I VI <br /> PLUMBER compAmy -Hcnjev.,--m W�nn+i on <br /> SIGNATURE REGISTERED Y/ N - FEE CURREN N <br /> Address Ucense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address ucense.#.F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED � Y/ N FEE CURREN <br /> Address Lidenset-F <br /> ................ wil <br /> RESIDENTIAL Attach(2)Plot-Plans;(2)sets of Building!Plans-(1)set of Energy ftim§:R-P-W Permit for new construction., <br /> Minimum:ten,(10)working days after submittal date.:Required onitte,'Construction Plans,.-Stormwater'Plans w/Slit Fence Installed, <br /> Sanitary Facilities&.14umpsterASite Work Permit for subdivislonsfiargwprojects <br /> COMMERCIAL Attach(3)-complete sets of Building <br /> Ing Flans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(IO)worWing 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 ,-(Front of Application Only) <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 />