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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 7 <br /> Owner's Name 0Z lA1I1 6iIU,2P7,) Owner Phone Number 70 2- <br /> ^ (���ha 4uO /3.76Z (� <br /> Owner's Address ��p4p ✓�� � Owner Phone Number O <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address�{ / n <br /> JOB ADDRESS 7[ O `�' Dq 1-1 a ��>> LOT ft <br /> SUBDIVISION t.UU PARCEL ID# -/v L4P '17-1 10/M 406&-)-00 5O <br /> WORK PROPOSED e NEW CONSTR B ADD! LT = SIGNINED FROM PROPERTY TAX=NO71cE)DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK (Q& GY .U tv r_Ii CW <br /> —r� <br /> BUILDING SIZE SQ FOOTAGE F---] HEIGHT <br /> BUILDING $lqm . OO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONvV l�� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER (1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN YIN <br /> Address C�T a O� WL Z License#{ C -(P1 <br /> 33U if <br /> ELECTRICIAN COMPANY <br /> SIGNATURE _7REGISTERED Y/ N FEE CURREN Y IN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License 4 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License;! <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111 <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 subdivisions/large projects <br /> COMMERCIAL Attach(3)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 /> 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />