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813-780.0020 City of Zephyrhills Permit Application Fait-813ae0.0021 <br /> Building Department Date Received Phone Contact forPermittln `t%, )4) <br /> Owners Name . A4 ( Owner Phone Number V <br /> Owner's Address Owner Phone Number r <br /> Fee Simple Titleholder Name F Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` •� t le�4— -LOT.# .� <br /> SUBDIVISION 1 T 0 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT r___j SIGN Q = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I T SO FOOTAGE HEIGHT <br /> [BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1J AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address n� License# I <br /> PLUMBER ��p"1_ (/�9 COMPANY P(� <br /> SIGNATURE 7TY��`4 c C°r'�^� REGISTERED Y N FEE CURREN I Y/N <br /> Address �' lr. '• p_-t 1v 1a yj License# ur <br /> MECHANICAL COMPANY —� <br /> 'SIGNATURE 'REGISTERED I Y/ N FEE CURREN /N <br /> Address License#( <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y I N FEE CURREN Y/N <br /> Address License# I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAiI O <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 Plana w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for subdlvlsionsRarge 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 alter 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 /> . . <br /> . . . . . . <br /> t :� <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarzed <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7600) <br /> Agent(for the contractor)or Power of Attomay(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroes if shingles Sewers Service Upgrades A/C Fences(PloUSurveyfFootage) <br /> Drtveways-Not over Counter if on public roadways..needs ROW <br />