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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-OD21 <br /> - Building Department <br /> Date Received <br /> Phone Contact for Permittinx -J�S 6(D1 <br /> am= - ........... <br /> Owner's flame +A0v__J Owner Phone Number <br /> Owner's Address tokol"(1) LO Cqp�1 ess st -1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> SOB ADDRESS LOT 0 <br /> SUBDIVISION ��'�fd)\ V <br /> PARCEL IDO�� 0 1 DO DODDL) I SID <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADDJALT SIGN- 0 0 DEMOLISH <br /> INSTALL rJ REPAIR <br /> PROPOSED USE Q SFR F__J COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE so FOOTAGE.= HEIGHT. <br /> "4444� 4844411114144� W4444444- <br /> =BUILDING $ VALUATION OFTOTAL CONSTRUCTION- <br /> ®ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING 1$ <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 YIN FEE CURRU <br /> Address LIcanse# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREN <br /> Address License# <br /> PLUMBER COMPANY ffain Yv on <br /> SIGNATURE REGISTERED IFEECURRE!, <br /> Address -License# <br /> MECHANICAL = COMPANY <br /> SIGNATURE REGISTERED FEE CURRa <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE -REGISTERED Y/ N., FEE cuRREN <br /> Address LIcensa# <br /> . ......................................... ........................ <br /> RESIDENTIAL Attach(2)Plot,Plans;(2)Sets of Builldirrj�'Plans;(1)set o of EnargVForms;R-P Will.Pan nit for now construction, <br /> -Minimum.lel?(.19)working days after submittal data.:-Required onsite.:Construction Plans,.Stormwater*Plans w/Slit Fence installed, <br /> Sanitary Facilities&_1_.dumpster­,,Site Work Permit for subdivisfollpfiarge projects <br /> COMMERCIAL Attach(3)completer sets of building Plans plus a Life�Safety Page;(1)set of Energy Forms'.ROW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach'(2)'setsofEhgiiieer44-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 if onpublic roalways..needs ROW <br />