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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> + Building Department <br /> r <br /> Date Received Phone Contact for Permitting K I3 -7__7 —7 4:9 0- <br /> Owners Name 6 t Owner Phone Number <br /> /BrLG/r <br /> Owner's Address "tl �IO� (� �/Z �'. Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address / i 5 <br /> JOB ADDRESS I �Gc- S� : L - /'L-/LS LOT# <br /> 2& <br /> SUBDIVISION /'jr�J (J✓ � jO/l/ j r PARCEL ID# I ^ `2.�"OLIO'1,�6DO`d9 461 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDIALT = SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE _ - SFR 0 COMM = OTHER ,�— O ✓ <br /> TYPE OF CONSTRUCTION =. BLOCK FRAME = STEEL Q J <br /> DESCRIPTION OF WORK (i Lc`/ / 5,17 e m7,AS/Z­__ <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ e� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> so <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY W/r/ LL(� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address Fi,P 22 W Cy a 1-44 r License# S(G <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> eee � eeee � eeee � eeeeeieeee � eeee � eeeeieeee � eeee � eeeeieeeeeoeeeeieeeeee <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/Sift 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 Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift 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 /> e,. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractorsign 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 />