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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department - C <br /> Date Revived Phone Contact for Permitting ( r� ) u �(�����v¢ <br /> Owner's Name Owner Phone Number O��� VO v 93015 <br /> Owners Address �l 6'r r' Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS !/ o LOT# <br /> SUBDIVISION PARCEL ID# 4Q a6 O100 40641 �72a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Wes. ' C G 17Q/U G oU-i- a `/off -*Al ® "f- <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING is <br /> 1ECHANICAL is <br /> So �D VALUATION OF MECHANICAL INSTALLATION <br /> =C'AS Q ROOFING Q SPECIALTY Q OTHER n j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address l License# �/► <br /> MECHANICAL A',„r,-OG/% .iA COMPANY �H'r/2 S <br /> SIGNATURE REGISTERED Y/N I FEE CURREn I <br /> `YY/N <br /> Address r/�i�lJ �/f/ ir� License# T6T <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Addre>s License# <br /> t111111111111111111111111111111111111111111i1111111111111.1111111111 <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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)wortdng 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 /> 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)or Power of Attorney(for the owner)would be someone with notarised letter from owner.authorizing same <br /> OVER THE COUNTER PERMITTING• '-(copy of,contract'required) <br /> Reroots if shingles Severs, Service Upgrades AIC" Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter,,if on public roadway"s'.needs'ROW <br />