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e13-780-0020 City of Zephyrhills Permit Application Fax al3-7eo-0o21 <br /> Building Depadmerd <br /> Uate Received phone Contact forPernitling — <br /> Owners Name Owner Phone Number <br /> Ownees Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT N <br /> SUBDIVISION PARCEL IDY <br /> IosruHeo FMar anooa►nTax noneq <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING s <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y r N MECURREn 1 Y/N <br /> Address Ucertea i <br /> ELECTRICIAN COMPANY _ <br /> SIGNATURE RECUSTEREn I YIN FEE cuM tM Y/N <br /> Address License# <br /> r �—y <br /> PLUMBER COMPANY In �nC1 <br /> SIGNATURE PMOSTERM I Y/ N FEECUMU N <br /> Address • e_ License• <br /> MECHANICAL COMPANY <br /> SIGNATURE I Y/N I FEECURrrEn I YIN <br /> Address Llcensef <br /> OTHER COMPANY <br /> SIGNATURE W"TER® I Y/N FEE CUMS Y/N <br /> Address IJcense i <br /> IIIItIt1111111tI1111111111111111E1111111 [ 1111111111111111111 [ 11II1 [ <br /> RESIDENTIAL Attach(2)Plot Plants;(2)sets of Building Plans;(1)set of Energy Fonts;R-O-W Permit for now construction, <br /> Minimum ten(10)worldrhg days after oubmittel date. Required onsile,ConshmdDn Plans,Stornw ater Plans vd Sat Fence installed, <br /> Sanitary Facilities A 1 dumpster,Site Work Permit for subdivislonsltarga projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Be"Page;(1)rat of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onstle.Construction Plans.Stomhwater Plans w/Sit Fence Installed, <br /> Senitary FaoTities 61 dumpster.Site Work Permit for an 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 /> DI a: <br /> Fill out application completely. <br /> Owner&Contractor sign bark of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AtC upgrades over$7600) <br /> Agent(far the contractor)or Power W Attorney(for the owner)would be someone with notarized{crier from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/SurveyfFootage) <br /> Driveways-Not over Courtier if on public madways..needs ROW <br />