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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 yam/ <br /> Date Received Phone Contact for Permitting <br /> Owner's Name I V��� I��IV•�rUO� Owner Phone Number J <br /> Owner's Address ,`1�l S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ( <br /> JOB ADDRESS U� f y� LOT /It�� '• <br /> SUBDIVISION 7\ ur `LJ PARCEL ID# l I � 9-- ' -OV I - I a Q) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7Ri ADD/ALT = SIGN = DEMOLISH <br /> TA REPAIR <br /> PROPOSED USE 2� SF Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK T Q FRAME 1 = STEEL <br /> � <br /> DESCRIPTION OF WORK a1� i W`C�� `� �YCUr�I(� �• v� `(�1� �'( <br /> AD <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $C t1_ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ /`( AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Lj IV <br /> =GAS 56 ROOFING 0 SPECIALTY = OTHER ( / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES CNO <br /> BWILa:,��� COMPANY W�_ <br /> IGNATURE;I REGISTERED/ Y/ N FEE CURREN Y/N <br /> Address C� l"� 1101�033� License CCO 5 00 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly <br /> /N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111 <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 dumpsler,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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,Stormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler.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 (Front of Application Only) <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 />