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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 _ <br /> Building Department <br /> Date Received i d— _ f\`�,C�/j` J �`T►) <br /> Phone Contaact for PermiWng ,,^^r( �'] <br /> Owner's Name eannc, l sn etr / Owner Phone Number V o 3 J <br /> Owner's Address EN 33 ►'��r 1cJcO7 t OA P= Owner Phone Number <br /> Fee Simple Titleholder Name A Owner Phone Number <br /> Fee Simple Titleholder Address C/I 1 U <br /> JOB ADDRESS I LOT# <br /> SUBDMSION PARCEL ID# �_( 'oyL'a 10 ' 0 060�- , <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTRPS ADDIALT �.J SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> I = <br /> DESCRIPTION OF WORK I ff�,w y <br /> sx ,LD rl f i(©du <br /> BUILDING SIZE 3x, lf/ SQ FOOTAGE HEIGHT <br /> BUILDING Is f r VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ I riC <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �J N o (p <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO �J S <br /> . . . . . . . . . . <br /> BUILDER COMPANY J( " � sJ <br /> SIGNATURE ^ REGISTERED Y N FEE CURREn I Y/N <br /> Address / License# III if lol to <br /> ELECTRICIAN / COMPANY QXWS r^Mdoe <br /> SIGNATURE REGISTERED YIN I FEECURREn N ;y <br /> Address �LnLicense; <br /> PLUMBER �j�, COMPANY l Lo u — <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y,^//N <br /> Address laqI License# <J <br /> MECHANICAL COMPANY /(air �Wfi 1m rV <br /> SIGNATURE REGISTERED Y)N FEE CURkEn Y/N <br /> Address GIr License# C1W )i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN L11N <br /> Address License# <br /> I I I I I I I I I I I I I I I I I I I I I I I I I I I I I t t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 <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 subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Persil 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 /> Dlrectlons:• <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 (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 madways..needs ROW <br />