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e13-780-0020 City of Zephyrhills Permit Application air 21 <br /> Building Department <br /> Date Received (� } Phone Corrtact for Permitting 1"— o <br /> Owners NameijJhM5-j <br /> L A/ p Owner Phone um er t p <br /> Owners Address 5G� A t en-ter, ..1?Owner Phone Number [J ��r✓� <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS �4� LOT##^� �My <br /> SUBDIVISION e � PARCEL ID# — � — op" " ! v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION d BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 'F 16D n f e Q P St 11 , <br /> BUILDING IZE / f> SQ FOOTAGE HEIGHT <br /> BUILDING l^�7 . ��r V UATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ G (J P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES INO <br /> LDER COMPANY <br /> S NATURE- walED I Iff/JN I I <br /> /FEEEEE CURREn Y/N <br /> Address Lic'hSe# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn LYIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn 1 77 N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREn LY/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> IIIIIIIIIIIIi111111111111111111111111111111tillllllllllt11111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far 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 subdivisions/large 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)worldng 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 /> Dlreottons:• <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 />