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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 JYT4/Cd�L L t/,�I+/ Owner Phone Number' <br /> Owner's Address ��z-y 1?���T Owner Phone Number <br /> I <br /> Fee Simple':Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 9 LOT# <br /> SUBDIVISION F PARCEL ID# 1-yd <br /> I' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION 0,•, BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> `BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ D/v VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> i <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` <br /> =GAS ROOFING = SPECIALTY = OTHER 0-A <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ;: COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN <br /> Address License# <br /> -ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N" <br /> Address License# <br /> PLUMBER!: COMPANY <br /> SIGNATURE REGISTERED •Y./ N` FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED YJ N:- I FEE CURREN -Y/N <br /> Address / License# <br /> OTHER. COMPANY:SIGNATURE:. ,REGISTERED Y/ N FEE CURREN. Y/N <br /> Address �. 1� 3/ U ®� C/_t .License# C <br /> RESIDENTIAL Attach:(2).Flot Plans;.(2)sets.of:Building Plans;,(1)set..of Energy.Forms;R-O-W.Permlf fog riew_constructiori;.. <br /> Miriimum't66--6 )workiiig days after submittal date:-'Requir'ed'onsite,Construction Plans;Stormwater Plans.w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> :COMMERCIAL Attach 1(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.daysafter.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 /> .*"PROP,ERTY.,.SURVEY required for all NEW construction. <br /> ------------ <br /> DUections: <br /> ;Fill-out application completely. - <br /> Owner&Contractor_sign.back.of.applicetion,notarized <br /> If-over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent:(for the contrd6tor).-or"PoWer"of Attorney(for the-owner)would be someone with notarized letter from owner authorizing same <br /> OVtFt;THE:C.OUNTER-PERMITTING . . -(copy.of.contract.required) <br /> Reroofs if shingles Sewers Service'Upgredes A/C "Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />