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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department /� <br /> Date Received Phone Contact for Permitting (� ) 2 —✓0/3 <br /> art rrr ^� !�r vy► ��{�/ �j�Q 7j(D7 <br /> Owner's Name �{(�'Jl/J� yL�/r!�/IiCI r �"�' � Owner Phone Number /3-�W <br /> Owners Address O /`! Z 7/V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �] ��/� o <br /> JOB ADDRESS ,01/ 67M ?I Vv /' LOT# <br /> SUBDIVISION PARCEL ID# �`�/ e)ve9' " 6OY60 P 110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q QBLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =r'L MBING S <br /> MECHANICAL $ <br /> 7 , VALUATION OF MECHANICAL INSTALLATION <br /> =C;4S = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURA REGISTERED I Y 1 N FEE CURREN YIN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREN Y/N <br /> Address L I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# q <br /> MECHANICAL COMPANY <br /> SIGNATURZ REGISTERED I Y/ N FEE CURREA I Y/N <br /> Address FAR fillen (/ License# r e <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y!N <br /> Address License# <br /> tttllllttlltllltttttttltttltlttlitlltttltllltttllttttlitlitltlltltl <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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 Engineered Plans. <br /> • PROPERTY SURVEY required for all NEW construction. <br /> Directions:+ <br /> Fill ou: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 /> n <br /> OVER THE COUNTER PERMITTING ' (copy of contract required) <br /> Reroofs if shingles Se%ers Service Upgrades'A!C. "Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />