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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 /> . . . . . . . . . . . . . . . I . <br /> Owner's Name C,'A Owner Phone Number <br /> Owner's Address 1-01v-�,MA Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT t, <br /> SUBDIVISION Vkly--414—<I PARCEL IDIIIJ)b-�)4n-41-L 1)--L 2nQ CMQ() <br /> )ffi t <br /> (OBTAINED FROM PROPERTY TAX NOTICEI) <br /> WORK PROPOSED NEW CONSTR F--1 ADDIALT SIGN DEMOLISH <br /> R, INSTALL F--1 REPAIR <br /> PROPOSED USE SFR = COMM OTHER F— <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> rr- <br /> =BUILDING I ovol VALUATION OF TOTAL CONSTRUCTION S 6, <br /> =ELECTRICAL S AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ----- . . . . . . . . . . . . . . . . . . . . . . . . . . . .. <br /> BUILDER COMPANY kit eezhl�4111N <br /> SIGNATURE G REGISTERED I Y/ N FEE GURREN I YIN <br /> Address <br /> License CCC-t33 ii�i <br /> ELECTRICIA <br /> N COMPANY <br /> SIGNATURE REGISTERED YIN FEE GURRB% <br /> Address License# <br /> PLUMBER 1 COMPANY <br /> SIGNATURE i REGISTERED Y/N FEECURREI, L <br /> L # _XLN J <br /> Address License <br /> 14SCHAN SIGNATURE <br /> EA COMPANY <br /> REGISTERED Y/N FEECURREh <br /> Address License 4 <br /> OTHER COMPANY = <br /> SIGNATURE I RliGISTERED Y/ N FEE CURREK <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[on(10)working days after submittal date. Required onsite.Construction Plans,Storrawater Plans vd Silt Fence installed, <br /> Sanitary Facilities&I clumpster,Site Work Permit for subdivisiansharge,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 onsile.Construction Plans,Stormwater Plans vil Silt Fence installed. <br /> Sanitary Facilities&I 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 constniction. <br /> . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Cornmencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Pot vrofAttorney(for the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AC Fences(Piot/Survey/Foolage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />