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813-76MO20 City of Zephyrhills Penn it.Application Fax-813a80-0021 <br /> ` Building,Department �2 <br /> .Date Received Phone Contact for Permitting^-cca�3 <br /> Owner's Name �- Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simple Titleholder Address p <br /> JOB ADDRESS yv o LOT# �. <br /> SUBDIVISION r( PARCEL ID# <br /> ,(OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0, COMM Q, OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> S= FRAME STEEL Q <br /> DESCRIPTION OF WORK -euo �r'� ` �—Yc, : 1 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W,R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> .=GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURR_E Y/N' <br /> Address License OF- <br /> PLUMBER COMPANY �fheCYwr Lc,e�>�CC p�r^c� <br /> SIGNATURE REGISTERED FEE CURREN Y/ <br /> Address A%ACbr, VA License# V <br /> MECHANICAL ;y COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREA Y Cf4 .. <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> tettttetttttttttttttttlttttttttttttttttttlttttittttttttttttttttlttt <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/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 Plane,Stornwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> • 1 116i1 • 11 8 i• • <br /> Directions; <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$7600) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />