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813-780-0020 o City of Zephyrhills Permit Application Fax813780-0021 <br /> Building Department (t^� <br /> Date Received Phone Contact for Perm1 'ng l V I — <br /> 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owners Name p j�� V l Owner Phone Number 1-7--7— 'A r <br /> Owner's Address b 1 �1 ,+l/5:Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> _J� <br /> JOBADDRESS rf�7lFL/`t I I` III I. i✓ ty`� (1 LOT# ff�� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK lRokar-1 <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $�� Q'1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ V AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ � q0",aJC� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> iY� i` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �V <br /> BUILDER L%`%�`' !/ r SCEIMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N 1 <br /> Address Licensdl CIRC,0',570l1�! <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN LY/N <br /> Address License# <br /> I I I III I I I III I I I I I I I I I I t l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l <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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsf arge 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 /> 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(far the contractor)or Power of Aftomey(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 />