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813-780-0020 City of Zephyrhills Permit Application Fa*813-780-0021 <br /> Building Department Date Received Phone Contact for Permitting 3 U t7 <br /> Owner's Name Owner Phone Number Z �! <br /> Owner's Address Owner Phone Number �- <br /> i <br /> Fee Simple Titleholder Name w r Phone Number <br /> Fee Simple!Titleholder Address J f <br /> JOB ADDRESS G 1 li S\ LOT# <br /> SUBDIVISIQN G A,6) 1leA) PARCEL ID# ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN �. Q DEMOLISH ' <br /> R INSTALL R REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> F <br /> TYPE OF CONSTRUCTION Os BLOCK Q FRAME 0 STEEL [� <br /> DESCRIPTION OF WORK <br /> BUILDING?SIZE SQ FOOTAGE HEIGHT. i <br /> FV1BUILDING $ j C'�(�GJ d '6 <br /> 1 Z5 VALUATION OF TOTAL CONSTRUCTIO <br /> ELECTRICAL $ 27C) AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �J <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED?FLOOR ELEVATIONS J EFLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED _�N FEE CURREN, Y/N �--� <br /> Address <br /> �' 0 �'a'- nse# � 22 G ?f I <br /> i <br /> _4. 1 <br /> ELECTRICIAN LUI <br /> ( COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN' <br /> Address J of U Z a lm,.J F(T t f'f License# t.G-/J G dJ,> ?-'� <br /> PLUMBER; COMPANY <br /> SIGNATURE REGISTERED "Y/ N FEE'CURREK Y/N' <br /> Address License# <br /> MECHANICAL COMPANY'. " <br /> SIGNATURE REGISTERED Y./ W FEE.CURREN Y!N <br /> Address License# - <br /> OT,HER,4: COMPANY <br /> 'SIGNATURE REGISTERED Y,/.N FEE CURREN <br /> Address License# ( I <br /> :RESIDENTIAL Attach,(2),Plot;PIans;,(2)sets.of Building;Plans;(1,)set..of Energy Forms;R=O�W.Perm,it fornew.construction; . <br /> Minirrium teri'(10)working days afker submittaGdate: Required onsite,Construction Plans,Siormwater Plans,4 Slit 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 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 al)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 /> Direct'ioos: <br /> Fill-cut application completely. <br /> Owner&.Contractor-sign;back.of.application,.notadzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> "* Agent:(for the contractor):or Power-of Attomey'(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER..THE..COUNTER PERMITTING - (copy of contract.required) <br /> ftetoofs 1f shingles Sewers Service,Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />