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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department II ( � // '� <br /> Date Received 1 Phone Contact fog Permittin 1 `4 i <br /> Owner's Name p� Yl C Owner)Phone <br /> r�N�Jumbe <br /> Owner's Address a D 03 U� 5}h vV � e- Ownneer`Phone ber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address)) <br /> JOB ADDRESS LO `t L-Q 110 t S RV LOT# <br /> SUBDIVISION Q >d` Z PARCEL ID# Q S Q t / OtM 3 0 <br /> r (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COSTR e SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE L= SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME Q ( STEEL Q i p n <br /> DESCRIPTION OF WORK Y�� -VQ- � 'i S b CJ.�L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ j VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ `JV V <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �C�r^ <br /> CCF Z P <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY \ rn J <br /> SIGNATURE �-r' p� REGISTERED YIN N <br /> FEE CURREI Y/ <br /> Address L �vcJ License# ! <br /> ELECTRICIAN COMPANY U.\ 'f� a <br /> SIGNATURE ( � REGISTERED Y/ N FEE CURREK Y/N <br /> Address 1y Kve.. �} l License# I E Q/) , <br /> PLUMBER COMPANY � C m�� <br /> SIGNATURE !n REGISTERED Y/ N FEE CURREN Y/N <br /> Address Q p �;rW-a License# I �j s <br /> MECHANICAL COMPANY 1 llRC <br /> SIGNATURE \ REGISTERED Y/ N FEE CURREEN <br /> Address 1 r � '�e License# l� O S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURREN L Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivistonsharge 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 Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW construction. <br /> _■ . <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 />