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813-7e0-0020 City of Zephyrhills Permit Application Fax-B13-780-0021 <br /> Building Department /� / ' <br /> Date Received Phone Contact for Permitting 7 3Z c1 W--LI?a a L <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name 11-Hiceyns. Owner Phone Number QU - <br /> Owner's Address �5, e UL r Owner Phone Number 3 2-- 0P LIP <br /> - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - ,3 I I I LOT# <br /> SUBDIVISION l PARCEL ID# — 0 - 60 - - D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK on <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ �--1 r VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ l AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER /=tebMPA'NYra <br /> SIGNATURE i REGISTERED Y FEE CURRREEN Y/N <br /> Address A A License# I C 57 / <br /> ELECTRICIAN MP r <br /> SIGNATURE REGISTERED Y/ N FEE CURREn I Y/N <br /> Address License# 3 000 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN L Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt Y/N <br /> Address License# <br /> Illtlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <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 subdivisionsllarge projects <br /> COMMERCIAL 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 /> 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 />