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z <br /> E13-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� phone Contact for Permittingg — <br /> I t r r I r l I l l l l <br /> Owner's Name 'I Owner Phone Number <br /> Owners Address �01FVWW1V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION lslL PARCEL ID#141 <br /> (d TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR_ ADIVALT L.J SIGN = = DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q <br /> DESCRIPTION OF WORK c Oka 3` g it W <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> EgRECHANICAL $ 0 0 0 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREII LXLN <br /> i <br /> Address License 0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y! N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL b Jd��Q„ COMPANY <br /> SIGNATURE �G 75' REGISTERED /N FEE CU(RREN <br /> Address (V ;&W License# f <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y I N <br /> Address License# <br /> r`iirrrrrrrrrrlrrrrrrrrlrrrtrllltlrrtrrrrrrlrrrrtrrrrrrrrrrrrrtrrrrl <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 onsile.Construction Plans,Stormwater Plans w/Slt Fence installed, <br /> Sanitary Facilities&1 dumpster:Site Work Permit for subdivisions/barge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plans.Slormwater Plans wl Silt Fence installed, <br /> Saritary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered(Marls. <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. (AIC upgrades over$7500) <br /> Agent(car the contractor)or Power of Attorney(for the owner)would be someone with notarized leper from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />