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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 <br /> Date Received Phone Contact for Permitting IJ 2-&7 — 7 <br /> Owner's Name --7,— G,,fU 6 C Owner Phone Number <br /> Owner's Address I I O %� S T Owner Phone Number <br /> Fee Simple•Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 rl S - LOT# <br /> SUBDIVISION PARCEL ID# J/—Z �-Z Ud/O —4 Z 60 O— i 3 v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER S l G`r+�J Ott <br /> TYPE OF CONSTRUCTION Q.,q BLOCK Q FRAME = STEEL = <br /> DESCRIPTION.OF WORK Z X( w cri oc, /�jy /r!O'li U - <br /> BUILDING6IZE �� �G SQ FOOTAGE � HEIGHT J <br /> Z 0 0 p _00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIOAL' v $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I' <br /> PLUMBING $ 12z <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> �JLZT -�J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> BUILDER i; COMPANY <br /> SIGNATURE REGISTERED I Y/ N . FEE CURREN LY.LN <br /> t <br /> Address License# <br /> -ELECTRICIAN COMPANY ` <br /> .`SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address•' License#- 7 <br /> 777 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE`CURREV ``'Y/N <br /> Address License*#' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURRE1% <br /> Address License# <br /> OTHER,.:. GGF G%y�/C lGk l CJ COMPANY <br /> SIGNATURE REGISTERED Y N FEE.CURREt`. /N <br /> Address 5`�Z .}� w ?0/ �-.. �¢�� /:G• 6.�7 License# O O.DO <br /> RESIDENTIAL Attach:(2)+Plof Plans;`(2)sets.of Building Plans,(!)set of Energy.Forms;R=O_-W.Permit fornew.construction;,. <br /> Minimum ten(10)working days aftersubi mittal`date. Required onsite,Construction Plans;Stormwater,Plans,w/SIIt 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 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)-sets of.Erigineered Plans.- <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Direbtioos: <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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> -OVER;THECOUNTER 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 roadways..needs ROW <br />