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813-780-0020 City of Zephyrhills.Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved ' <br /> /1' n Phone Contact for Permitting. ( I '7 5 <br /> Owner's Name 1_ f C. t U� -AIN ST � 3 - _ )Iffj� <br /> T�wne .hone Number 915- I w(� ! U <br /> Owner's Address ,3 go 10 5t h /-J e Owner Phone Number �— <br /> Fee Simple71tleholder.Name � � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �.j �kJ(. - ( i i LOT# <br /> SUBDIVISION PARCEL ID# ' `� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN ® Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER ! <br /> TYPE OF CONSTRUCTION �,e BLOCK Q FRAME STEEL Q <br /> i - <br /> DESCRIPTION OF WORK N -,J j N 2 C bra <br /> --BUILDINGySIZE SQFOOTAGE= HEIGHT <br /> r. <br /> BUILDING $ <br /> , ���� VALUATION of TOTAL CONSTRUCTION' <br /> ti <br /> QELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ r <br /> . � ( + <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOA—"' <br /> QGAS Q ROOFING Q SPECIALTY OTHER4, <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER rLit�l ll+ <br /> COMPANY <br /> URE 'D <br /> SIGNAT ,- REGISTERED Y/ N FEE CURREN <br /> Addy®ss �5514 S-1- License# <br /> -ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ N _J FEE CURREN Y/N' <br /> t <br /> Addr®ss License# <br /> •.i <br /> t , <br /> PLUMBER C COMPANY <br /> SIGNATURE REGISTERED Y"/ N' FEE CURREN `Y/N <br /> 4 <br /> Address'• License# <br /> MECHANICAL COMPANY <br /> SIGNATURE,:, " . 'REGISTERED YJ N FEE CURREN <br /> Address License# F . <br /> ,,OTHER,, COMPANYd UUt � �` (��/�d r l 4�I�' C CG <br /> SIGNATURE REGISTERED Y/ N FEE cuRREN. <br /> Address License# <br /> RESIDENTIAL Attach(2)"PIot,Flans;.(2)sets.of Building Plans;,(1)set of Energy R-O-W Permit for;n®w.construgtion; <br /> Minimum ten,(1l))working days after submittal'date.-Required onsite,Construction Plans;Stormwate�'Plans.vir%Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsliarge 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 instailed, <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 /> 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).ar Power of Attorey'(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 />