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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department n a <br /> Date R6ceived l Phone Contact for �j Permitting C7 1-37 O - �53q <br /> Owner's Name 19-C`I/ 11 Ole,( Q Owner Phone Number �/3-�)S n <br /> ! /Al <br /> � <br /> Owners Address (,O (O C— Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address rr� <br /> JOB ADDRESS C P li��� ��n C._ I P�G Gf✓ 22 LOT# <br /> SUBDIVISIONi��n/`L PARCEL ID# 9J-Z(o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> ��jj Q FRAME = STEEL`�aQ�{ <br /> DESCRIPTION OF WORK 'i G 2 V v v Q F W <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $L�11 VALUATION OF MECHANICAL INSTALLATION --/� i�u <br /> =GAS = V ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N - FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N <br /> Address Y License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �/ / ,y REGISTERED Y/ N FEE CURREt, Y/N <br /> Address �O03 �S _!'l License# 1 <br /> oj O <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Storrmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al[commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> I.....r...r�..-r4.-1-1-F. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> -. ..-r..-..-r...r...r�.�..-....-..-r...r.-.�..-ram <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 Attomey(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 />