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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> owners Name L. ZVA,�- &fe. Owner Phone Number `fd <br /> Owners Address 40�) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS low <br /> ` LOT# C� <br /> SUSUBDIVISIONPARCEL ID# ! 0?/ AWi9V/) 'D <br /> /// (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT Q SIGN Q DEMOLISH <br /> INSTALL FilREPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q n ,FRAME = STEEL <br /> DESCRIPTION OF WORK a6, #d M 1/ �'U�� O <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =r`LUMBING $ <br /> MECHANICAL $ //n pA Q VALUATION OF MECHANICAL INSTALLATION <br /> =C,AS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address F License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE ri"�'�'� REGISTERED I YIN FEE CURREN I Y/N Address 'Z—Mils I License# *3<p <br /> 8 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L11 N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stommater Plans w/Silt 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,Stornwater Plans wl 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).Gr Power of Attomey(for"owner)would be someone with notarized letter from'owner authorizing same <br /> OVER THE COUNTER PERMITTING Y (copy,of gon"ct required) <br /> Reroofs Nshingles• Sewers; Service Upgrades:A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over,Counter,if on public roadways-needs ROW <br />