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813-780-0.020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department <br /> Date Received Phone Contact for-Permitting' — <br /> Owner's Name f tact _OL M +ti r` /r2r7 Owner Phone Number 2 <br /> Owner's Address 19 `7 1 reo t Z Owner Phone Number <br /> Fee Simple Titleholder Name Owner PPhone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT#. <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED,FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT "� SIGN [�;_ Q DEMOLISH <br /> s <br /> e `INSTALL R REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER . ' <br /> TYPE OF CONSTRUCTION BLOCK 0 'FRAME STEEL Q <br /> DESCRIPTION OF WORK � G�^�-� 5" 7L8>r\ <br /> BUILDING61ZE SQFOOTAGE= HEIGHT C <br /> 14444, <br /> =BUILDING 7 . VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> QPt,UMBING <br /> =MECHANICAL $ too VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER " <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES- NO <br /> 1 1 1 Not 18106N Niel 11618@1 1 IN 12offilw1i 111121fiffil <br /> BUILDER? COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# I <br /> i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address- License•# <br /> PLUMBER:', r . COMPANY <br /> SIGNATURE REGISTERED Y/ N- FEE CURREN Y/N ' <br /> Address. <br /> , License#' <br /> F <br /> MECHANICAL COMPANYllR <br /> SIGNATURE.r: REGISTERED Y/ FEE'CURREh /N <br /> Address License# I.�%1y'C�or�t <br /> OTHER ,. .. . COMPANY' <br /> SIGNATURE -REGISTERED Y/ N FEE CURREK Y./.N <br /> AAddress, License# ` <br /> RESIDENTIAL A#ta'ch°(2);PIo4'Plans;.(2)sets of Building Plaris;`(1)`-set of Energy Forrns W-W Permit for new construction, <br /> Mimmum'.ten;10 workiri":da'$'a }' ( ) g y_°fter submittal dafe:'^Required ansite;Construction Plans,Stomtwater Plans.w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> -Minimum ten(10)workingr days.after submittal.dater-RequIred!dnsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciGties'41,duni Aster: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 C Mriencement•is°required. (A/C upgrades over$7500) <br /> •' Agent(for the con"ctoc),or-Power.-of Attomey(foc.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 3ewiers' Service Upbrddei A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over.Counter if on publlaroadways..needs ROW <br />