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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 'el� t pv Y� ~ Phone Contact forr Permitting <br /> Owner's Name / /n /lGJ C Owner Phone Number <br /> —7 <br /> Owner's Address 90/ ✓ hl 6 2P40�L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS � 1O 167al� 1 L,42/ LG��Sj LOT# � <br /> SUBDIVISION PARCEL ID# 35—olJ��l'M 1Q—V,9 I DQ —00-30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME <br /> = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> fUILDING $ a`p� 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 = SPECIALTY = OTHER V�FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY G <br /> SIGNATURE REGISTERED Y/ FEE CURREN Y!N <br /> Address ' --) License# 1—: 3toa <br /> ELECTRICIAN ` COMPANY C1k <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address o� / / S w�S/� C 6 33'9VL4cense# G/3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, YIN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK LYLN <br /> Address License# <br /> Illllllllllltllllllllllllllllllllllllllllltllllllllllllllllllllllll <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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large p%ects <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 /> Directions: <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 /> RDroofs if shingles Sewers Service Upgrades A!C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..neads ROW <br />