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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 0 a <br /> \\ II r <br /> Owner's Name tc�F� -///��t do ka,�siflb <br /> V k T Owner Phone Number <br /> Owner's Address Z s L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `f3 9 T]VL Z 1 r LOT# <br /> SUBDIVISION PARCELID# 03,019^00D00 '-b 17(S <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Qt BLOCK Q, FRAME = STEEL = <br /> r <br /> DESCRIPTION OF WORK ,., AaA A 3 ts .W P <br /> 1 L'D <br /> BUILDING''SIZE SQ FOOTAGE HEIGHT Qf U�j(• / <br /> BUILDING $ LUATION OF TOTAL CONSTRUCTION <br /> D 000 <br /> / , DU / <br /> �i <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ <br /> • <br /> Cx <br /> MECHANICAL $ n (90 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED,FLOOR.ELEVATIONS FLOOD ZONE AREA =YES NO �\ al <br /> u <br /> �i OD � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ aFEE CURR n.MIOUN <br /> Y/ <br /> Address � 6. License# <br /> ELECTRICIAN pANY (2A I I S" <br /> .'SIGNATURE REGISTERED - Y'/ N - FEECUAddress O License# <br /> r OU <br /> PLUMBER', <br /> OMPANY / <br /> SIGNATURE 2 ^ n REGISTERED Y/ N'' EECURREN' .'- <br /> Addressa License <br /> MECHANICAL l O AAAANNy <br /> SIGNATURE: ``// REGISTERED N EC En N <br /> Address ,5 !v Q License# "re <br /> OTHM,,, ', COMPANY <br /> ..SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attaoh{2)Plot Plans;,(2).sets of Building Plans,(1)set,of Energy.Forms;R=0-W,Pennit for.new.constiuction,. <br /> Minimum ten"(10)working days after submittal date. Required onsite,Construction PlansrStonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)compidlie'sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 /> 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).or Power of Attomey(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 />