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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 9� ° <br /> Date Received /PhoneContaetforPermitting E Y�n�3 <br /> Owner's Name (,tj Pk ��/1 r l$� t•ylJ6�l Owner Phone Number <br /> / <br /> Owner's Address /��� l. 111 W riiZ 441) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S>9nl�i IIS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT Q SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL = <br /> DESCRIPTION OF WORK Weer- SYitaSrtPxs , ('Jto P 00 iEtln AS <br /> BUILDING SIZE 1 q/L li SQFOOTAGE= HEIGHT /Z1 <br /> 444- <br /> =BUILDING $ n VALUATION OF TOTAL CONSTRUCTION <br /> d{9,Oo . <br /> =ELECTRICAL Is Ie p00 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS . Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER X <br /> }r/n/yy COMPANY Sr/A11L�aNsy /onoJ Oe- <br /> SIGNATURE n lm- REGISTERED I(YI1 N FEE CURRIEn I YIN <br /> Address ;1 sal f b a;s l C LT.'a lZca n 1,1,1WT 0171 335fFG Licennsse# C 90 4261 0/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE InREGISTERED Y N FEE CURREt, I YIN <br /> (x <br /> f, Address S• �ItiC e r I l r License# CC,ODD v 3 <br /> V <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N F'EECURRM YIN <br /> Address License# <br /> MECHANICAL COMPANY F <br /> SIGNATURE REGISTERED YIN FEECURREf, Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA I Y I N <br /> Address License# <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 onstte,Construction Plans,Stormwater Plans wl Silt Fence Instated, <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 onsile,Construction Plans,Stormwater Plans w/Sift 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 WSW) <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 AIC Fences(PlotfSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />