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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / !2/ Q 7� <br /> n Phone Contact for Permitting 9 <br /> Owners Name A_+_V1&0 C X1/t/�t—F+-<✓ Owner Phone Number /3 <br /> Owner's Address J 5' .��/° �/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder/Address <br /> JOB ADDRESS Z 4' -7 e, 1 ,GC L Z LOT# F <br /> SUBDIVISION ZL' PARCEL ID# 13 Z obi 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I = SQ FOOTAGE= HEIGHT <br /> OUILDING $ /� O q t✓� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $(p O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ I <br /> O <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION N <br /> =GAS = ROOFING 0 <br /> SPECIALTY OTHER C% <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO cp­ <br /> _F4 <br /> BUILDER / l OMPANY tom/ t'�iw 0j,Dla� 7pfF 8'"- <br /> SIGNATURE REGISTERED YJ N FEE CUR�/N <br /> Address i074/L�n(1�1�Otf�W/)`)d(j vcTc6� 3)77 License# G/3/1J/66 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> _1-1-1 1 <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 projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new constriction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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 /> Direction.: <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 Attomey(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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />