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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 Permittingg — <br /> I I I I I I I I 1 1 1 1 1 <br /> Owner's Name ll(?I �l� Owwner Phone N)�uumbbler � (J �Jd�,`I <br /> Owner's Address D r _ CCU T Owner pone ltitb6er� <br /> Fee Simple Titleholder Name 2 2 ' 12� lxi Owner Phone Number <br /> f�y � 2 <br /> Fee Simple Titleholder Add — �� I — (� s l I �3 <br /> 7 `,A v 'l <br /> JOB ADDRESS <br /> � � 7� I�t ��J� L Y I ��f LOT# '�` <br /> SUBDIVISION `QS r \ {� �1�I CEL ID# , b _� O`0 t/ 1 D _ �"' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED C REPAIR <br /> B SIGN = = DEMOLISH <br /> N PROPOSED USE = SFR Q COMM = OTHER 1 O 0 3 IL[ <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = Op N <br /> .I eneC. vL2 pl-©P—1 E4 U() <br /> DESCRIPTION OF WORK <br /> L' `1p (jt <br /> BUILDING SIZE Sk SQ FOOTAGE mat EIGHT , � <br /> s��1"1� r rTrmTrrlTrm ITI r rrrr�rl <br /> BUILDING $ /l,l I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $d AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. ' <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 L <br /> hyI r J <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V <br /> XBUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <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 subdivisionsAarge 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(far 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 requir <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) .; L) /�`'`4`/ v Driveways-Not over Counter if on public roadways..needs ROW (�/l <br />