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818-780-0020 City of Zephyrhills Permit Application Fax-813.780-0021 <br /> ti <br /> Building Department <br /> Date Received Phone Contact for Permttting — G &S <br /> Owners Name ' Ir �,�ICrTK/`� Owner Phone Number <br /> (/V Owners Address tP3 (UV4 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,1 •C/I7 / C•33S7 I /LjOT# <br /> SUBDIVISION I!(nAkdU PARCELID# d-f -J J- �i�V0—QQ �"/) D/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q ,•!rBLOCK ::]�// FRAME Q�.��,S�T�EEL Q /� y !- <br /> DESCRIPTION OF WORK iA(� �� wNIIS 0,l a,TR(1i W'J' W fi PO IYL 0 X I9 SYI�j U <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $/ �_ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS�ENNERRGY = W.R.E.C. <br /> =PLUMBING $ K vv � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS = ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO _ tar'— <br /> 2 <br /> BUILDER COMPANY <br /> SIGNATURE //�� REGISTERED Y/ N FEE CURREn Y/N J <br /> Address 9 C W_,, got, License# 1311 r17 r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn Lff <br /> /N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREK Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address License# <br /> IIIIIIIIIIIt11111t11111111t1111111tI111111t1111111111111111t1111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;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 subdivislonsliarge 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,Stornwater 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 /> Direcflons: <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 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-Not over Counter if on public roadways..needs ROW <br />