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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r Phone Contact for Permitting <br /> -T-T7 <br /> Owner's Name k Owner Phone Number <br /> Owners Address lr.r& IS1 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address p <br /> JOB ADDRESS f 11II // 7 �� [�j LOT# <br /> SUBDIVISION PARCEL ID# 1 I� (r'j (i ~ l Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT I� SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM I_J OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q Some <br /> � STEEL <br /> ( Q <br /> DESCRIPTION OF WORK t-<T Aw P� S { e X(0 <br /> BUILDING SIZE II SCI FOOTAGE HEIGHT <br /> BUILDING $�(�t GnAl 'VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> C�� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO /r <br /> BUILDER COMPANY ✓r�- <br /> SIGNATURE /j,,� �''• �/ REGISTERED Y/ � 9uRREt. Y/NN/ <br /> Address WQe, / ��/— / /�Liicense# Iiy��:-/pe-,r 0C' r f t <br /> ELECTRICIAN COMPANY 11�^`! C iL.(., L?I. j�✓ <br /> SIGNATUREJ REGISTE ED Y/ N FEE CURREN ! ,Y//N <br /> Address License# ire✓" ��� <br /> PLUMBER COMPANY <br /> SIGNATURE 9;REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY //JJ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N J <br /> Address License#OTHER MPANY (�/f <br /> SIGNATURE REOGIS I <br /> TTERED Y/ N FEE CURREN Y/N/N <br /> Address License it+ <br /> 11 ! ! l111 ! llitilt ! liti ! l1 / liili / iiiiilllllltiilllllltllllliltliltlii <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 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 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 /> . . . . . . . . . . lull . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if aver$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 /> I <br />