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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 J K&a-orJ Owner Phone Number <br /> Owner's Address I Ll7 g S�v W_ C.i QG ItG Owner Phone Number <br /> Fee Simple:Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,-1 Si l(/CYL L I�RG�C LOT# <br /> SUBDIVISION F PARCEL ID# / 6 - I CaD - &OIL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR F COMM = OTHER <br /> TYPE OF CONSTRUCTION ®• BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 1ifo..J Xs«/L A *r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> i <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS 0 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> S <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> i <br /> Address License# <br /> PLUMBERi COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N <br /> Address License# - <br /> MECHANICAL �� �,/11 ,1_ COMPANY S GfNLE A-)P- t.iKGG- `V <br /> SIGNATURE '�'vwlp�=''r7wIL REGISTERED N FEE CURREN I Y/N <br /> Address License# I CACIkl." '1S— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1.dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets•&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(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..6eeds ROW, <br />