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813-780.0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received S �j Phone Contact for Permittin - <br /> Owners Name �a 9•\GC"as AD Owner Phone Number O r 3 Lim -7 <br /> Owners Address C r15 I(-G, I Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address o r� <br /> JOB ADDRESS �l o �C �1 LOT# <br /> C Cd 4� <br /> SUBDIVISION Vim. C S PARCEL ID# 03- 6 21 -�r � 00WO- d 700 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSYR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q _ BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK `^\ -C - RO&aX Nvivicue 10 1 ��•1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 5 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J <br /> L/ v <br /> =GAS E�J/ ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y!N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y!N FEE CURREI Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn I Y/N <br /> Address License# <br /> OTHER COMPANY C <br /> SIGNATURE REGISTERED Y/ N FEE CURM^E^N I Y/No <br /> Address GI V L t FL 3 S-1 License# 1.1 S� " O 3 <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,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans 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/Sill 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 roadways..needs ROW <br />