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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name Owner Phone Number <br /> Owner's Address SJ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS _P LOT 0 <br /> SUBDIVISION PARCELID6105- av-a ) -cola -col I I VtV00 - COL4 Cu <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT• SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Qt <br /> BLOCK E] FRAME STEEL <br /> DESCRIPTION OF WORK _C <br /> BUILDING SIZE SQ FOOTAGE r----� HEIGHT -1 <br /> 1 1 W-4-14 ... ........ <br /> [___JBUILDING $ VALUATIOWOF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> ®PLUMBING <br /> 1$ <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN- J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LYLN J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/.N.. FEE CURREN YIN <br /> Address PL4511 Pop—Mthf-to P'd License 'a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N., FEE CURREN <br /> Address License#- <br /> 4+H+K+ 3,;J.A 10. .................................................1+114."f4f+p 1J+1 F J I 11.8.11.........+H+H++H* <br /> 1PI set of Energy <br /> RESIDENTIAL: Attach(2),Plot--Plans;.(2)sets of Building Plans; Forms;R-O-W Permit for new construction, <br /> Minimurn,tep(19)working flays after submittal date. Required onilte,-6nstrucflotvplan&;Stormwater'Plan's w/Silt'Fence Installed, <br /> Sanitary Facilities&I.dumpster,--Site Work,Permit for subdivisionsnarge projects . <br /> COMMERCIAL Attach(3)complete sets of Building Plains 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 wl Silt Fence Installed, <br /> Sanitary Facilities&I dumps.ter.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 /> I m-pli limp.011.1 1111- 111111pup Ig"I <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It 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 -(Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivsways-Not over Counter If on public roadways..ni3eds ROW <br />