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813-780-0.020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> Date Received il� y Phone Contact for Permi ing <br /> Owner's Name 11 !f�' Own <br /> Owner's Address ,?851� Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number �^ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .3 o -6- ' g2tiRkeA. I a691r LOT# <br /> SUBDIVISION �A.7'G STI t? ,)191fS1 PARCEL ID# <br /> (OBTAINED.FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' NEW CONSTR ADD/ALT SIGN Q:. Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE , Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME [�� STEEL Q <br /> DESCRIPTION OF WORK �/✓��v Str Ci9�S"/°G 2T wllt47 <br /> BUILDING`SIZE 1, SQFOOTAGE= HEIGHT C -� <br /> LENLIYUILIJIMJi $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING C] SPECIAL OTHER <br /> FINISHEDiFLOOR ELEVATIONS FLOOD E REA =YES NO <br /> C -} <br /> BUILDER' COMPANY 0 V. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN - Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE' REGISTERED ;- Y/ N FEE CURREN <br /> Address License# <br /> t <br /> PLUMBER r COMPANY <br /> SIGNATURE REGISTERED Y/ N.. 1. FEE CURREN <br /> Addr,®ss . License# <br /> b <br /> MECHANICAL._. COMPANY <br /> SIGNATURE. REGISTERED Y/ N FEE CURREA`' ' Y/N-- <br /> Address License# <br /> OTHER ,: COMPANY' <br /> SIGNATURE REGISTERED -Y/'-N. FEE CURREN' <br /> Address License# <br /> �4 <br /> RES'tI)ENTIAL Atta6h;(2)PlotPlan's-(2)'s of Building Pians;'(1)'set of'Energy Forms;R=O-W'Permitfor new construction, <br /> Minim um.ten`(.10):working days'after submiftalAate.',Required onsite,Construction Plans,Stormwater Plans:w/Silt Fence installed, <br /> Sanitary.Facilities&1 dumpster,Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Oi Permit for-hew construction. <br /> Minimum•ten•(10)morldng.days:after-submittal.date""Requiredonsite,Construction Plans,Stormwater Plans w{Silt Fence installed, <br /> Sanitary FacilitlesA l 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 S'IIRVEY requlred`for'ail NEW construction. <br /> `Directions: <br /> Fill out application completely. <br /> Owner;.:&:Contractor sign:back of application,notarized <br /> If over-$2500,a Not)ce of Commencement is required. (A/C 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_con"ct.required)`j <br /> Reroofs if shingles Sewers Service(Jp9rades.-AtG�'r::'r 'Fences{Plat(Survey/Footage} <br /> Driveways-Not over,'Counter if on public'roadways::rieedsiRO1N <br /> . _ ....,.,.4b n.. .... <br /> ii <br />