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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received + <br /> Phone Contact for Permittingg <br /> I I I I 1 1 1 1 1 1 1 1 1 <br /> Owner's Name 1 /�� QA� r� Owner Phone Number(Lga) '� . `35 <br /> Owner's Address I{.7 t✓ i� C U" Owner Phone Number <br /> Vf31 p h & rrL <br /> Fee Simple Title of a Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS , . y r 3 LOT# <br /> SUBDIVISION PARCEL ID# — —al <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR a ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = h <br /> DESCRIPTION OF WORK o V 1/+fp - M <br /> BUILDING SIZE ' I SO FOOTAGE O i HEIGHT <br /> VALUATION OF TOTAL CONSTRUCTION y I� <br /> /=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = .R. C. r/V� <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> \ ' ry f ' <br /> BUILDER COMPANY 0J V <br /> SIGNATURE /:�— REGISTERED / N FEE CURREn I Y/N <br /> Address G q15, T License# I accao <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA <br /> Address License# <br /> PLUMBER ram_ <br /> COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL r -' COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREr Y/N <br /> Address License# <br /> OTHER t-- COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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 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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(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(Plol/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />