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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ­D 1a.t11e­11R1_eFc�eWi­ved r CPho nIe Contact f10 r T P Na im Ming <br /> -- - .- <br /> I I I I I lg 9 3",_x* 111 1 IU1f <br /> Owner's Name e, Owner Phone Number <br /> I G Owner Phone Number <br /> Owner's Addressl '9- kecv-klj,� go,j Ste 756 1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 4tr I T-v cm i4f <br /> JOB ADDRESS' LOT# <br /> SUBDIVISION r PARCEL iD#F <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED FPQ NEW CONSTRE] ADDIALT SIGN DEMOLISH <br /> rl INSTALL " REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Ae-) ,,jQ,Z t 5hell <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . <br /> E COMPANY L <br /> SIGNATURE WILDER REGISTERED LT- Y-IN FEE-:CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N rEECURREI, YIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREh <br /> Address License#F__ <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED Y I N FEE CURREN YIN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_] FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OAAJ Permit for new construction, <br /> Minimum ten'(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionMarge 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(110)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt 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)sets of Engineered Plans. <br /> 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- (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter irGm owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />