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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ...............17 ....... <br /> Owner's Name Owner Phone Number <br /> owner's Address Owner Phone Number <br /> Fee Simple:Titleholder Name Owner Phone Number <br /> Fee Simple!I ItIenolder Address <br /> JOB ADDRESS F &)o1,eV6w-J LOT# <br /> SUBDIVISION PARCEL ID# tl9 r f_W 40 J 7 600✓6 21 50 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q Comm ,,-OTHER <br /> TYPE OF CONSTRUCTION D.t BLOCK Q FRAME STEEL <br /> 77r <br /> DESCRIPTIONOF WORK V_ <br /> ractfoo C)V1,C <br /> -BUILDING",SIZE SQ FOOTAGE= HEIGHT <br /> 2 amw w44-4 1,111, <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION* <br /> F---19LECTRIbAL 1$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> MECHANICAL q VALUATION OF MECHANICAL INSTALLATION <br /> llJ <br /> =GAS Q ROOFING- 0 SPECIALTY OTHER <br /> FINISHED f LOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N • FEE CURREN <br /> LXLN_J' <br /> Address F License#' <br /> ELECTRICIAN COMPANY <br /> .'SIGNATURE REGISTERED FEE C _yL YRREN N L <br /> A ros # <br /> z. <br /> Address License <br /> PLUMBER!' COMPANY <br /> SIGNATURE REGISTERED. I -Y/ N7T FEE CURREN Y�/W <br /> Address, License' <br /> MECHANICAL COMPANY'OMPANY,' <br /> REGISTERED Y/ N_ FEE CUR 'LKLN <br /> SIGNATURE _J <br /> y. <br /> (7 6 <br /> Address License# a <br /> OTHER, <br /> COMPANY <br /> SIGNATURE REGISTEREDL_yLLNJ -FEE CURREN <br /> Address License# F <br /> ............ .. . <br /> RESIDENTIAL Aitaqh_(2)Plof Plans;(2)sets of building Plans;`('1)set of Energy,Forms;R-O-W Permit`fdr.fiiew.construcfiofi;, <br /> Minimumten:'(ib)•"W'O'rkihgd'ayseift6'r-sU6*'Mlttai'date. Required onsile,Construction-Plans,Stormwat4'P1a'ns*/.S1lt Fence instilled, <br /> Sanitary Facilities&1 clumpster,Site Work Permit for subdivislohs/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(IQ)working days after submittaIr date..lRequired onsite,Construction Plans,,;Stormwater Plans w/Slit F6,rde installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial <br /> requirements must meet compliance <br /> SIGN PERMIT Attach(2)siets:of Engineered Plans. <br /> ****PROPERTY,SURVEY required for all NEW construction. <br /> ........... <br /> a I a 6 ff 1 5 a B 1 11 14 i 1"4T-I 1 1 <br /> Directions: <br /> Fill'obt 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 /> Agentffor*the contractor),,or Power of Aftomey-(for the owner)would be someone with notarized letter from owner authorizing same <br /> -dVkR4HE.-.COUNTER PERMITTING (copy of contract required) <br /> Rerd6fs if-shingles Sewers Service Upgrades A/C . Fences(Plot(SurVey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />