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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmentp- <br /> ! 'Date Received Phone Contact for Permitting <br /> 1 1 1 1 1 1 1 I TT 1 A 1 1.1 1 1 <br /> Owner's Name -! Ir f 7 p C_(-o�,q Owner Phone Number <br /> Owner's Address 5l0l p S-K Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � <br /> JOB ADDRESS 561a. { �1 1) ) 1 rL// /4ny0k <br /> i `L^O�T# �V <br /> SUBDIVISION P11000, <br /> PARCEL ID# (OBTAINED FROM PROPERTY TAX <br /> WORK PROPOSED e NEW CONSTR ADDIALT = SIGN DEMOLISH <br /> DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK U Q 1�LQ- 0 1 <br /> i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ /1'"1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ d\ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ QI(`^� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Pp / <br /> =GAS = ROOFING 0 SPECIALTY = OTHER ► // w <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO v <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address u, License# (� <br /> OTHER , COMPANY rK� �'IYYlJ1�L 1TII11 <br /> SIGNATURE t-�p ^� c' REGISTERED Y/ N FEE CURREN/' I Y/N <br /> Address 1180 105 c.Oi — License# C,(3rO— <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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 dumpstei;Site Work Permit for subdivisionsllarge 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 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. WC 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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />