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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Io- It—to Phone Contact for Permitting y ing p !Op9 !0 q- U T 7 <br /> Owner's Name /�/r �O G Owner Phone Number p t'3 Q47 a07s <br /> Owner's Address S .Z 0? �✓S _ 103�qc Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number / <br /> Fee Simple Titleholder Address ^ / 7t // <br /> JOB ADDRESS .may a a o/ I^d �' �/1I�� �l I. J �'/,(� LOT# <br /> SUBDIVISION F2 t9 Al k`IS I PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK V j)-f N s 7 eZ k G <br /> BUILDING SIZE f X SQ FOOTAGE HEIGHT <br /> TITTITTrITPPTP'➢�ITi�P`9'�P"¢mP�I�IYYl"PI�I®�I�IT�t�rTl®PPIT'1'9®P7T�PPTr�T1"�T�7'�i�F-T'P� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �1!Z 035b <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V <br /> =GAS = ROOFING 0 SPECIALTY = OTHER S1 C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO v <br /> lev� ( <br /> BUILDER /r a COMPANY b"/-hUy(1 <br /> SIGNATURE ...,,�.. REGISTERED Y/ N FEE CURREN Y/N <br /> Address ��y %/rAV,S ya License# ' 00l0017[ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111 <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,Stonnwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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/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. <br /> irections:-1-F-t -1-1--I-{•-I-f-•I-F-1-I-t--F•1-1-•1�4-i..i-l--L�f�I--F•3.a-d-f-i�E-d-1-I-8-I--I-F-F-1®L-1-1-•f-S-�f-i•-F-I-1-1•-F-F-�L-i-FF-f-1�1 •• <br /> Dons: - <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(PloYSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />