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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 ( J) <br /> -1-Y--1-ITTN 1 c. l' <br /> Owner's Name - L 1 Owner Phone Number p f 'I <br /> �,t�.� ryM� ,�e�d,mz yVo3u <br /> Owners Address I"( (Q ���W1D Owner Phone Number <br /> Fee Simple Titleholder Name r 1 y Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /��� /n� LOT# O <br /> SUBDIVISION lmdAi L(L' 5 PARCELID# d <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN(OBTAIRED FROM PROPERTY T�ncEl DEMOLISH � c1 �-6`�0 <br /> e' INSTALL e REPAIR v��® V l <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK )( 5 co cce v_ <br /> 1.0 <br /> BUILDING SIZE / SQ FOOTAGE HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER J LOMPANY `�e!'rh(!`.r �0 g1TIJC-, <br /> SIGNATURE REGISTERED Y N FEE CUR/ C <br /> R�EN /� Y I N <br /> Address 5l *� �r 1 4 License# . IC <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y l N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE i REGISTERED Y/ N FEE CURREI Y/N <br /> Address License# <br /> OTHER 1 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N <br /> Address License# <br /> I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i l l l l t l l l l l <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionwbrge 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(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW / <br /> I <br /> i <br />