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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittino =67 <br /> ................... ............. ....... . <br /> Owner's Name <br /> CWrj Owner Phone Number <br /> Owner's Addressi 6 cu Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpl6,Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT S16N DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER 7777---1 <br /> TYPE OF CONSTRUCTION 0,1 BLOCK 1--71 FRAME STEEL <br /> I DESCRIPT!r ON OF WORK k Koc)41 \SNI N I<X—* <br /> BUILDING`S IZE SO FOOTAGE HEIGHT <br /> BUILDING <br /> Is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =G'AS ROOFING 0 SPECIALTY OTHER <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 4* H <br /> BUILDER,. COMPANY +1 ffo _0 Jme/ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN _Y N_j <br /> Addrpss License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 'Y/'N-T, FEE CURREN' <br /> Address,'- License# <br /> PLUMBER' COMPANY <br /> Y/'N'* FEE LKLN <br /> SIGNATURE REGISTERE6 _J <br /> Address License# <br /> MECHANICAL COMPANY, <br /> SIGNATURE REGISTERED YJ N. FEE�cuRREN L Y/�N <br /> Address License#'I <br /> OTHER,;; COMPAN <br /> Y <br /> -SIGNATURE REGISTERED Y. N_J -FEE CURREN_ LKLN_j <br /> Address License# <br /> la..... H <br /> RESIDENTIAL :(2)'0161:•Plani;,(2)s&s_of Building Plans;'(I)set•.ofEnergyForms; -6--W-06rmitfor.66w,construcfion". <br /> Minimum teri 10)'woikIng days after submittal'date. ReOlied'onifte,Construction Planse Stormwater'Pl6ns.w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisio,nifiarge-projects <br /> 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 /> Mihimum'ten(,10)'wcirkir.ig days after su.bmittaIA te onsite,Construction Plans,Stormwater Plans w/,SIIt Fence installed, <br /> a, .,.RaquIred <br /> -Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)s6ts:of.,Eqji-neared Plans. <br /> ****PROPERT-,Y;,,-SURVEY required for all NEW.construction. <br /> ........... <br /> Fill out application completely. <br /> Owner <br /> 'wng &'C6ntrictor...sigp,backof,application,-nota'n'zed <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 /> bvkkTHE:COUNTER.PERMITTING !-(copy of contract-required),,..,... <br /> Rdidofsif shingles -Sewers Serv]66-Upgradds-A/C",- :..':,Fences:(Flot/Sarvey/Footage) <br /> Driveways-Not over Counter if on public roadways.'.needs ROW <br />