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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 /> T1Tr / <br /> Owner's Name «rl^s M (��1 Owner Phone Number <br /> Owner's Address J I 11"C� Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Addressss , <br /> JOB ADDRESS _5 ICI a � 1 V HJ./" LOT# I <br /> SUBDIVISION (A Se-L (�SlQ PARCEL ID#t 4�2-c C7 -0360 00060-0 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q' SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION E32-' BLOCK = FRAME = STEEL �_ <br /> DESCRIPTION OF WORK UZy— �`r ^^ e }y M`-- <br /> BUILDING SIZE SQ FOOTAGE dD HEIGHT <br /> TI"tTITIT1rITITrITTTITITrITr7T�T1rITITrITIT'TITI"ITTTtr <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ A <br /> ®MECHANICAL $ ( I VALUATION OF MECHANICAL INSTALLATION r' <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> �.•-.�-... . . . . . . . I•-I..�L-1�-.-rat--1•-1-�i-L+1-7-i-i+l+i-i-i-. . . . . i . . . .-..•-.-i--i-i+� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I <br /> License# <br /> (MECHANICAL COMPANY PIUJI�I 4� <br /> SF INAT.URE� REGISTERED Y/� FEE CURR/E+N� Y/N n ¢ Gr LL,C. <br /> Address U on( 'j v License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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 dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler,Site Work Permit for subdivisions/large 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 onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler.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 /> +F+L-4-f-4.1-�1+.•-.-�I+{+�L-{-4.1-1-4-1-4.1�-1+�F-1-1+.-.+4-4-4-4-{-4-i-f-4.1-4-1�-I+L-1�-1-{-•.•-.+G+4.4� <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 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 />