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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' I 2a-7 VS — 03 <br /> 11 <br /> Owner's Name 1c. h f"t �C Owner Phone Number <br /> Owner's Address LAW, z Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number , <br /> Fee Simple1itleholder Address <br /> JOB ADDRESS �3 9 Nx AVC- /'i /` LOT# <br /> SUBDIVISION PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION 0a BLOCK Q - FRAME = STEEL = <br /> DESCRIPTLON.OF WORK <br /> C�s-1 <br /> 'BUILDING-SIZE SO FOOTAGE HEIGHT <br /> BUILDING $ <br /> f D p0O OO LUADTION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ 3 z/9,0"00,11 0 <br /> 0 <br /> [MECHANICAL $ QdO> �O VALUATION OF MECHANICAL INSTALLATION: <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER i COMPANY d <br /> -SIGNATURE REGISTERED Y/ FEE CURB h Y/ <br /> r , <br /> Address C License#' <br /> ELECTRICIAN <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address'' License# QD <br /> ll000l <br /> �ov <br /> PLUMBER$ OMPANY <br /> SIGNATURE AA01 REGISTERED EE`CURRER 61� <br /> Address- % License:# `p <br /> r i /J / /0.� <br /> MECHANICAL OM� A�NY /`/ �v L O a k " <br /> SIGNATURE !/ REGISTERED N FEE°C REt Z�ra <br /> N <br /> Address 5 .!"�7 L� License# <br /> OTHER.,-.. ;,. COMPANY <br /> SIGNATURE- REGISTERED I Y/ N FEE CURREN. Y/N <br /> Address License# <br /> ,. <br /> RESIDENTIAL Attach;(2),.Plot Plans;"(2)sets.of Building Plans;,(1)set of Eriergy Forms;R-O=W.Permit fo�•new-construction,:. <br /> Minimum ten=•(10)'uvorkirig days after submittal date. Required onsite,Construction Plans;Stormwater Plans.w%Silt Fence installed,. <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge 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 Erigineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> ------------ <br /> Fill out application completely. <br /> Owner'&Contractor sign back of.application,notarized <br /> If over$2500,a Notice of Commencement is required. (MC 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 />