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813-780-0020 City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department 7 <br /> Data Received Phone Connt�act for Permitting — a �/� <br /> Owner's Name �' I OT L' 646Di ner Phone Number 0 O O cr 0—0100 <br /> Owners Address 3`I 325 NJ Stan &V-e' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress I y� I I ht 7� <br /> JOB ADDRESS 38 q 5S ) C -54 h h'i l I S 35 4 Z- LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = L BLOCK y, Q FRAME = STEEL = <br /> DESCRIPTION OF WORK LI 1 1 1 �I C Qe /—J L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION L v v <br /> ©ELECTRICAL $ 15 j ZZ5•d b I <br /> AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ ou �j�Q �� <br /> 4T l�� J v !t'�C/VE(iN <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY -for,IT,a <br /> SIGNATURE REGISTERED Y/ N FEE.CURREN Y/N � <br /> 1VVV <br /> Address License# <br /> ELECTRICIAN A ND-ih ► (xv-e- acctntC I n C <br /> SIGNATURE 1 1 TERE/D Y N FEE CURREN 1 YIN <br /> Address — K (Cf— W �. License# EC,1?,OO Lip 312 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LMN <br /> Address License# <br /> Illlllllltlllllltlllltllllllllllllllllllllllltllllllllllllllltillll <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 /> Direetlo4rit <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 />