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813-7eo-0020 City of Zephyrhills Permit Application Fax-e13-78D-0021 <br /> Building Department '7 //�� <br /> Data Received ``t� Phone Contact for Permitting 1�) / 2 — V <br /> Owners Name f7'/l V J Z C r��i Were Owner Phone Number 3 <br /> Owners Address 9 T/ / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS I ! LOT# <br /> SUBDIVISION PARCEL wo T` r � !.r dC " <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> = FRAME = STEEL = <br /> DESCRIPTION OF WORKS a �l C Lr 1 aiV J L-ym <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> WtECHANICAL $ <br /> 45. 1770VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURe r REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN <br /> Address License#- <br /> MECHANICAL COMPANY <br /> SIGNATURE �/ REGISTERED A Y/ N FEE YIN <br /> Address 9 4/ //en9 1-#1116 "52N License# <br /> OTHER COMPANY. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA <br /> Address License# <br /> ttll11lttltllllllllllllllllllllllllllllllllllllllllllllllllltllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OwW 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 subdivisions/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,Stormwater 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 /> 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 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways;.needs ROW <br />