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813-780.0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received t <br /> �..�..�T.�.�.r. . <br /> Phone Contact for Permitting $ 7 �� f)rlri� <br /> Owner's Name ! Owner Phone Number JLJL <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS torAU w t?rT A LOT.# L_ J <br /> SUBDIVISION 1V i C3 PARCEL IDt! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK E] FRAME STEEL [] <br /> DESCRIPTION OF WORK �^ f i� <br /> BUILDING SiZE I SO FOOTAGE HEIGHT <br /> [BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> /=—MECHANICAL 1$ VALUATION OF M`EjCHANiCAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn LILN <br /> Addmas [� License# F I <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y!N <br /> Address n License#F <br /> PLUMBER A COMPANY <br /> SIGNATURE �r' "� REGISTERED Y N FEE CURREn yY/N <br /> Address C.& License# �� {`►� <br /> MECHANICAL COMPANY �- <br /> -SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N <br /> Address 7 License# �� <br /> OTHER COMPANY <br /> SIGNATURE �] REGISTERED I Y/ N FEE CURREn I Y/N I <br /> Address License# I <br /> liiiriiiiiiiiii . . (t . f . . . . . . . Y � � � � it . . 11 � 1 � 1 � � � � 11 � � plitillill <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set 0r Energy Forna;R-O-W Penult for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plana,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsfi rge 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 data. Required onsite,Construction Plans,Stormwater Plans w/Slit 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 /> FlII 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$7600) <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 />