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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 Permitting <br /> Owners Name Owner Phone Number <br /> Owner's Address 2 1P 4 N l /�O Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �1 <br /> JOB ADDRESS y�Q�—� lrV �J l� kTT �/L/ram l 3,Y LOT# 1��J <br /> SUBDIVISION /(( /9Aa f ZILir� PARCEL ID# J —C�S o2 OV 56-0CW 0-O`Q b <br /> r .—T (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK__ //--0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZEJAXr%) I SQ FOOTAGE'�7 D HEIGHT <br /> TiTT�PYTITPPTPTr"7TITITI�FTIT4�I'TP'ITITirI'T7�i'4'P9�1TT�P'P�4Tf—TIT�PTITrrrP'1'9" <br /> =BUILDING $/ L) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 4'2t q'(p5 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . ...-j. . .4.� !,. . .--_--•�--.— -,�-1— :—. . ...—: ..—. <br /> (�BUILDER / ]� I COMPANY {�ikJ 44e LCH1 Unit[LI�L <br /> SIGNATURE ( ( REGISTERED Y/ N FEEC <br /> Address S / ZA l J ya- Lic isef # o� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FE REN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlI11I11111111`IIIIIIIIIIIIIIIIIIIII <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,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivlsionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. <br /> Minimum ten(10)working days after submittal 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(2)sets of Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW construction.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 /> 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 />