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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 Permittin D-1 <br /> ........... <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name 'Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a D 5 Tc v e LOT 0 <br /> SUBDIVISION PARCEL IDS j_RH— a[.Q -3) - D1DD-pj1M_)_1,_A3() -1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e <br /> NEW CONSTR ADD/ALT' SIGN, DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDMSE SFR Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Rf� Dn ��, 2 <br /> BUILDING SIZE =_ sFOOTAGE=. HEIGHT <br /> MW WIN <br /> "BUILDING 1$ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> $ <br /> PLUMBING o <br /> 1 6M_o7 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES. No <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY CM M i <br /> SIGNATURE REGISTERED <br /> I FEE CURLREI N <br /> ?Address License# 1 lt>s -Ca S'( <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED , Y/ N FEE cUIRReh- <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach'(2)Plot Plans (2)sets of d6IIdIn'6*1*PId`fis;(1)t eto f Energy Forms;ROW Peri Tilt for new construction. <br /> MinlmumAep(10),workipg days after submittal date.�Re4ulred ohilte,'Construction,Plans;StormwaterPlains w/Slit Fence Installed, <br /> Sanit ary Facilities&1 du!Mpsteq;SIterWdrkxPennit for sUbdivislopsnarge projects. <br /> COMMERCIAL Attach(3)complete sets of Building Plains' plus a Life Safety Page;(1)set o.f 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&I 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. (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 /> AVER THE COUNTER PERMITTING -(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter iff-pn public roalways-needs ROW <br />