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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Racoivad '�p)C) "1�1�t�,nlly�. Phone Contact for Permitting <br /> Owner's Hama t'I�,,-1 ay -vloY r,l�-es Owner Phone Number <br /> Owner's Address "I U[W U3 C Y SS SA Owner Phone Number <br /> Fee Slmplo Titleholder Name Oviner Phon®Number <br /> Fee Simple Titleholder Address /� <br /> JOB ADDRESS (� <br /> D 1 r 1 (o i I LOT 0 <br /> SUBDIVISION s U COY Q PARCEL 1D# 5 -a l- 00'i0-OOIPOO-MLO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT' = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> 4PLUMBING <br /> $ t lJV 00I0l <br /> =MECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LY/N. <br /> Address license# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREDI Y/N FEE CURREN" I Y/N <br /> Address O'n�I Ucc+ennsse## ` 'J <br /> PLUMBER COMPANY <br /> SIGNATUREKZ/t"- REGISTERED I YVN. FEE CURREN. Y///N/�,� <br /> Addrm 5 q l ' License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED 1-YIN . FEE CURREN <br /> Address License# <br /> OTHER -COMPANY <br /> SIGNATURE f REGISTERED I Y/ N. FEE CURREr Y!N <br /> Address License# <br /> RESIDEHTIAL' Attach(2)Plot'Plans;(2)sets of BulldinaPlens;(1)'s6t of Energy Fobs'-,R-O-W Permit for new construction,. <br /> MiNmum ten(10)working days after submittal date.Required onsite,-Construction Plans,Stornwater Plana wl Slit Fence installed, <br /> Sanitary Facilities&:1 dumpster,$Its Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsits,Construction Plans.Stornwater Plans wl 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)`sdis of Engineared Plans- <br /> PROPERTY SURVEY required for a0 NEW construction. <br /> Dlroctlo ie: <br /> Fin out application completely. <br /> Owner&Contractor sign bads 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 . (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadwaya..neede ROW <br />