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813-780-0020 City of Zephyrhills Permit Application Faz813780-0021 <br /> Building Department <br /> Date Received 7120 x <br /> Phone Contact for Permitting <br /> 1 1 1 1 1, 1 1 1 1 1 1 1 1 <br /> Owners Name t� p bamid_ G (r Owner Phone Number - <br /> Owners Address R r Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple TitleholderAddressn t, <br /> JOB ADDRESS ( v� p 5 LOT# <br /> SUBDIVISION PARCEL ID# I Q 10 " <br /> (OEMAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR 8 ADD/ALT = SIGN _ = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME yt= STEEL Q <br /> DESCRIPTION OF WORK G1 1 5 1 c '1 X,C4. Gi A- K e, w`�ZO fj4 DOD( <br /> BUILDING SIZE SQ FOOTAGEF-47 HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ES f 1!^ <br /> BUILDER A OMPANY r Y no <br /> SIGNATURE �L i' REGISTERED Y/N FEE CURREN I Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N Y/N <br /> Address . License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address <br /> License# <br /> 111111111111111111111111IIIIIIIIIIIIIIIIIItllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0.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 subdivisions/iarge 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,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. 1 <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 />