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813-780-0020 City of Zephyrhills Permit Application Fax 81 3-780-0021 <br /> Building Department <br /> Date Received Phone Contact for M Permitting- <br /> ai <br /> Owner's Ham N Owner Phone umber <br /> Owner's addressi-9w U) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS MQUO ED il(21110 DV- LOT a <br /> SUBDIVISION PARCEL IDNF-- <br /> �+�W- a I. OkOC) 04 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR ADD/ALT' SIGN- DEMOLISH <br /> R INSTALL Lj REPAIR <br /> PROPOSED.USE Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE=, HE16HT"F <br /> =BUILDING, 1$ VALUATION OF-TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING <br /> 1$1q0D -W I- -� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L WN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE w <br /> REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY on <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN Ll� I N <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN- <br /> Address License* <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y1 N- FEE CURREN <br /> Address License#- <br /> RESIDENTIAL.4- Attach(2),Plot Plans-,(2)Sets of B U+ildlhg Plans;(1)set o f EnergyF'or.Forms;WO=W'Permlt for new-construction,, <br /> Minlmum.ten(10)working days after submittal date.:Required onslte,'C6nstru6don Plans,.Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1.dumpster,-Site Work'Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(3)-complete sets of Building Pleini'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)sbts of Englheeroicf-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 (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter Mon public roajways:.nei ads ROW <br />