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813-780-0.020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /0!*Z t Phone Contact for Permitting afl':3 4u _ 16 i & <br /> Owner's Name �t (9 Al. Owner Phone Number <br /> Owner's Address $ C'�1 7� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Z 2 LOT,# <br /> SUBDIVISION PARCEL ID# S ° °Z I �x�D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT I. SIGN Q., 0 DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION E�a BLOCK Q FRAME STEEL Q , <br /> DESCRIPTION OF WORKS AeW <br /> BUILDING#SIZE SQ FOOTAGE HEIGHT4. <br /> OBUILDING $ f'L�D � . VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> M ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> o l A)dC' Jf� <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHEDjFLOOR ELEVATIONS FLOOD ZONE AREA =YES- A 3 4q � <br /> Z.�1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ NI FEE CURREN Y./N <br /> Address Me?I �i�AA! 7Jev. �� License# C 7'I'? 5? <br /> , <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N - FEE CURREN Y/N <br /> Address License#,I <br /> PLUMBER ` COMPANY <br /> SIGNATURE J. REGISTERED Y/ NJ FEE CURREN Y/N.: <br /> Address; . License#' <br /> MECHANICAL:..'. COMPANY <br /> SIGNATURE. REGISTERED Y/ N FEE CUOMK <br /> Addr`.ess License*F <br /> OTHER r COMPANY• <br /> SIGNATURE - REGISTERED Y/ N FEE CU(RREEN Y./,N• <br /> Address License# I . <br /> :, - <br /> RESIDENTIAL' Attach.(2)PIoYPlans;(2)sets of Building`Plans;'(1).set ofEnergy.Forms;-R`-0-W Permit for new`cwnstruction, <br /> Minimum ten`(.10):workirig days after submittal'date.'Required onsite;Construction Plans,Stormwater Plans.w/Silt Fence installed, <br /> Sanitary,Facillties&1 dumpster,Site Work Permit for subdivislolis/Iii a 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)working days aftersubmittal 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-(?)sets of Engineered Plans <br /> - ****PROPERTY SURVEYre'giilredlbeail NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> OWner-,4-'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)woutdbe someone with notarized letter from owner authorizing same <br /> OVER-THE COUNTER PERMITTING (copy of contract required) <br /> Reroofa f shingles Sewers Service_Upgrades:,A1C- - Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if.on public roadways..needs ROW <br />