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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 /> Owner's Name vvydsct Owner Phone Number <br /> Owner's Address - Y 5y20wner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ! 1 LOT# <br /> SUBDIVISION PARCEL ID# ^2 ^21-9200-00f)O0 r 020 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION L C 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK trw <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> rIMBUILDING $ i! VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS EENNE�RGY - . ..> <br /> 7' �P i <br /> =PLUMBING $ - M �L <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> l Vl C <br /> SIGNATURE---= REGISTERED Y/ N FEE CURREN Y/N <br /> 33905 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> i <br /> PLUMBER : COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LI.LN <br /> Address "l9�)k ayry 0 Y 5 LLA 3,L ; qWj\' �-L 6o,� License# E�05 6- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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(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 /> 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$7500) <br /> Agent(for the contractor)or Power of-Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING, '(copy of'con4ract'regi$red)= <br /> Reroofs if shingles Sewers S,erVice Upgrades"A/C. 'F.eh�es(PlottSurvey/Footage) <br /> Driveways-Not over Counter if'on"public.roadways.,ne@ds.ROV�!., <br />