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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date'Received I 1 I Phone Contact for Permitting �� ( � — ( � <br /> Owner's Name (" �, Mrr <br /> Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple'Titleholder Name Owner Phone Number <br /> Fee Simple,Titleholder Address <br /> JOB ADDRESS `a �� 7,,�P Ff"/�tft L�j rZ 7j S�oZ LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = 0" DEMOLISH <br /> I ; <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = Comm = OTHER <br /> TYPE OF CONSTRUCTION- De BLOCK FRAME STEEL Q. <br /> DESCRIPTION OF WORK I t o' f� 6Ui+(,L_ , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ 800 VALUATION OF TOTAL CONSTRUCTION <br /> =fELECTRICAL $ Qri AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ l 1 <br /> i l Y <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v <br /> 0, , <br /> =;GAS = ROOFING 0 SPECIALTY = OTHER <br /> � V. <br /> I <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES 'NO <br /> BUILDERI; J„ / J ! OMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN, Y/N <br /> Address �j G�r�"`�' C License# <br /> ELECTRICIAN y✓t L ? _-� COMPANY =OLA� `C ,S ^�L <br /> SIGNATURE 1� �S �J REGISTERED Y'/'N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED- Y/ N' FEE'CURREA <br /> Address License.# <br /> MECHANICAL COMPANY <br /> SIGNATURE'::" REGISTERED Y./ N =" FEE,CURREN <br /> Address License# <br /> OTHER COMPANY <br /> .•SIGNATURE, REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> a <br /> . RESIDENTIAL At#agl,:(2)PIot,Plans;(2)•sets.of Building Plans;,(1.)set ofEnergy,Forms;k-&w Permit for new.construction- <br /> Minimum ten-(10)working days after submittal date kequired onsite,Construction PIans;`Stormwat4 Plans.w/Slit 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.submittaf date.,;Required onsite,Construction Plans,;Stormwater Plans w/Slit 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 /> -1111111111111111 <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 /> OVER11.112 COUNTER PERMITTING (copy.of contract required) <br /> keroofs.if shingles Sewers Service Upgrades A/C„ Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.,needs ROW' <br />