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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department p� /_ �J <br /> Date Received 17 Co 'p�0` phone Contact for Permitting O 13 Ya J - I '0 3 <br /> 1 1 1 1 1 ¢ <br /> Owner s Name v�"j 1�5-[f4 n t Owner Phone Number CJ/3-2 0 � <br /> Owner's Address OS <br /> (4C) (f C/ N fJ�— Owner Phorie Number <br /> Fee Simple Titleholder Name J Owner Phone Number <br /> Fee Simple Titleholder Address r 0 <br /> JOB ADDRESS y�3 O10�0 �VL�/��� �e lT�!� S LOT# <br /> SUBDIVISION t/ii S'rest ES'-r(-� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> 10 INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 i /STEEL/Q y (� a n <br /> DESCRIPTION OF WORK AC �n OrJ r �•S-�,,J ! /S�We_ W IBC PA'r 7&/36g <br /> BUILDING SIZE I I SO FOOTAGE �7 HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> C�OMECHANICAL $/_ j� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y I N <br /> • Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# f <br /> MECHANICAL COMPANY 1iCs J O . r(/r P ` <br /> SIGNATURE REGISTERED Y/ N FEE CURREA rt Y/N \ <br /> Address 't�k�wAf �1 I n P�� ?� GJ/ License# 40$J T5 <br /> OTHER COMPANY J <br /> SIGNATURE REGISTERED Y/ N FEE CURREA LY/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;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 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 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(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />