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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 1 <br /> Date Received <br /> •� h—�� Phone Contact for Permittin <br /> Owner's Name / S Owner Phone Number <br /> ✓�I2 <br /> 5 _2_2_2 3� <br /> Owner's Address Owne hone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Add <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# 35 25 2) (9GlO 0 )WO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR a ADD/ALT SIGN ✓� = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q lq}1 <br /> DESCRIPTION OF WORK m 1 r)Otec. 8'7O�a-AQco <br /> BUILDING SIZE SO FOOTAGE Zd %' '�i��HEIGHT2 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION`�21 300 <br /> ELECTRICAL $ d© AMP SERVICE Q 1P�ROGRESSENjERGY = W.R.E.C,.�} <br /> =PLUMBING $ �1yY 'L 03 <br /> `� faim cet <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER4(A 60MFAN <br /> SIGNATURE �AM GlsrEkEo Y I FEE CURREA "zY�/(VM /} <br /> Address License# <br /> ELECT ICIANFz-- Olt COMPANY I^ <br /> REGISTERED Y/ NJ FE URREt, I Y/N <br /> Address r License# E �, I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf LZI N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIt11111111111111111111111111111111111111111111111111111I111111i1 <br /> RESIDENTIAL Attach(2)Plat 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 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. (A(C 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 />