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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 <br /> FTT <br /> Owner's Name 22 �u/n�Owner Phone Number �Ef l(�10 -!J <br /> Owner's Address a,56e. _A'Dwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1�J�D d� Y C(, 33,54c) LOT# <br /> SUBDIVISION F PARCEL ID# - - -0 -- O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION jQ'/f BLOCK �1 0 FRAME Q STEEL <br /> DESCRIPTION OF WORK ! V ` I f�- 1 �Il i�1ZwA 9LACLC« 3Ll �� J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> TtTr—--—- -TRr1TrTTrIT1"ITtTrTTrTTrTTrITIT7"'TITrITi"ITTTr <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $"" <br /> MECHANICAL v VALUATION OF MECHANICAL INSTALLATION /J <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN �Y/N <br /> Address License# <br /> MECHANICAL COMPANY �� 1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREA /N <br /> Address ��° 07.(� �I(S' ✓ ��- License# C1 iJ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N ' <br /> Address License# <br /> 111111111111111111111111111111111111'Illlllllllllllltlllllllllllllll <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,Stormwaler Plans w/Silt 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 Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stonnwater Plans w/Sill 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: T• <br /> Fill out application completely. <br /> Owner&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)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 />