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813-780-0020 City,of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact forPeffnittine 727 <br /> . . . .� 013 79 <br /> Owner's Address <br /> Owner's Name /0� Aa U 1�417�; Owner Phone Number <br /> 9 Owner Phone Number <br /> L <br /> Foe Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -3 LOT <br /> SUBDIVISION 12r- PARCELID#62-Z&-Z(-0160-100200-rnl;311 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR r7 ADDIALT SIGN DEMOLISH <br /> R INSTALL F--1 REPAIR <br /> PROPOSED USE SFR F-1 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL F- <br /> DESCRIPTION OF WORK e,6ca,- telltZeke-) e A-R -5/2 e-- <br /> BUILDING SIZE 1 —1 SO FOOTAGE HEIGHT <br /> . . . . . . . . . .EBUILDING F I/ y 'V I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECT"RICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING i$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY J�� OTHER (-7 <br /> AREA =YES NO 5) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE <br /> BUILDER COMPANY 4W WOA 10 <br /> SIGNATURE REGISTERED r YJ N FEECURRET, Y/N <br /> ?'77) License# 114-r-13/1.5-/C,6 1 <br /> Address IiI974/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I YIN <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y1 N FEE CURREV, L11N J <br /> Address -1 License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I Y1 N FEE cuRREI, L_y_L N_j <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN =N <br /> Address License# <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 subdivisionsilarge 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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now 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 /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If'ovor$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 on public roodways..needs ROW <br />