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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received <br /> PhoneContact for Permittin <br /> Owner's Name ay :uomes Owner Phone -- <br /> Owner's Address Leu) U3 N wess S-4 N <br /> - Owner Phone Number F_ <br /> Fee Simple Titleholder Name. F_ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS H07;% LOT 0 <br /> SUBDIVISION �51 Wevacto PARCEL fool t)5- a LO-91- 00'&)_00L000 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT- SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE SFR Q COMM- OTHER <br /> TYPE OF comsTRbcnom Q 13LOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 30 FOOTAGE HEIGHT C�� <br /> ] <br /> =BUILDING $ VALUATIOWOF TOTAL CONSTRUCTION. I <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING tU0) 00 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address U(%nse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Ucense# <br /> PLUMBER Dkw CA <br /> SIGNATURE COMPANY by) I <br /> REGISTERED FEE CURREN N <br /> Address License# 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LN <br /> Address License# <br /> OTHER ,COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LIL LNJ <br /> Address Udense# <br /> .............................. <br /> RESIDENTIAL- Attach(2).PIot-,PIans;,(2)'sets of B6IIdihg-Plans;(1)i4of EriergyForms;RP-W Permit for.new construction- <br /> Minimum tea(,10)working days after,submittal date.:"Required onsite,-Cohstivaflon Plans;,StormwaterPans w/Slit Fence Installed, <br /> Sanitary Facilities&.I.dumpster,:Slte Work Permit for subdivi.slonsfiarge projects <br /> COMMERCIAL Attach(3)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 w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach(2)'sats of Engineered Plans., <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 1511-r-ectionw.0111111111 1 111 .111111111W <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorWng same <br /> DVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroofe If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if-on public roadways-needi ROW <br />