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813-780-0020 City of Zephyrhills Permit ApjSfl ion Fax-81 - -0021 <br /> f Building Department <br /> T Date Received _ 'ID '2 l (� Phone Contact for Permittin Z 0 7— <br /> 11I 11111 (r,�^ 111 1 <br /> Owners Name Nel�n' V la_�y�CG ner Phone Number f D f <br /> Owners Address 2 1 K1�J Owner Phone Number I I <br /> Fee Simple Titleholder Name I ON Owner Phone Number <br /> Fee Simple Titleholder Address 0/% /y� <br /> JOB ADDRESS On (&%X, LIT <br /> SUBDIVISION V 1 PARCEL ID## 5� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH, INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Chi eY <br /> BUILDING SIZE I I SQ FOOTAGE® HEIGHT <br /> BUILDING $ 60 N VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 4J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO fJ <br /> BUILDER <br /> SIGNATURE R�GMPD `Y/ N FEE CURRE< \Y 1 111 v <br /> Address License#/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> eaa.ess r o <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA I Y/N <br /> Address License#t <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address License i# <br /> OTHER I I COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREf Y/N <br /> Address License## <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllll <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 wl 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 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 /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />