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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 3 0 C-_ <br /> Date Recelv6d Phone Contact for Perm ' <br /> ...... ...... .................. ittin 9 rrrryrr, <br /> Owner's Name Owner Phone Number <br /> Owner's Addressl 9_0 L4 (9 -T, Owner Phone Number (fA 3­7 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple,Titleholder Address <br /> 'S <br /> JOB ADDRESS LO T' LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR AbD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL F__] REPAIR <br /> PROPOSED USE Q SFR Q Comm 0 OTHER <br /> �1 <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> is DESCRIPTION OF WORK 1350 Vk N, L�L_ 1: N GC '14, c' �k <br /> -BUILDINGSIZE SQ FOOTAGE HEIGHT <br /> . ...........i ...... <br /> nBUILDING <br /> VALUATION OF TOTAL CONSTRUC lo ( <br /> =E LECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING �= <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION k2,.o <br /> =6AS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 a o 4 1 v 20 1 1 a 0 9 1 1 1 1 2 i v i H i i i I N N H1 I i i i i i 2 1 i i i i i 6 1 i i v i I <br /> BUILDER COMPANY [LjiA-ri I>IJ tz,t— <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y'/ N_T' - FEE CURREN N <br /> L_j <br /> Address License <br /> PLUMBEk COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN <br /> Address: License*# <br /> MECHANICAL COMPANY, <br /> SIGNATUREo <br /> REGISTERED YJ N FEE CURREN L_Y/N J <br /> Address <br /> License# <br /> ;OTHER;,; COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> t -H!f!li!f!-!!f!!!ffi!iil.!Ii!i!lfI H+.,.RESIDENTIAL Mac, (2)'Plot Plans;(2)s6ts.of Building I?Ians;,(1.)set of Energy,Forms;R-O-W ew construction,., <br /> Permit f6in <br /> Minh Urn wrqi 6y W'oiking'd after submittaWate;- Required olinsite,Construction Pla6s'-Stormwa�ier Plans wt Slit Fen <br /> ays ce installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life.,Safely Page:(1)set of Energy Forms.R-O-W Permit for new construction. <br /> 'Mihimurn'ten(10)working days after submittal date.. Required onsite,Construction Plans $tormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Perml 1:1 fb.rall new projects.All commercial ra4uinime6ts-must meetciompllaince <br /> SIGN PERMIT Attach(2)sets:of.,Engineered Plans. <br /> ****PROPERTY,SURVEY required for all NEW construction. <br /> .............................. ............... .. . ..... .... ............ <br /> Fill but application completely. -i <br /> Owner&Contractor sign,backof application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(far the contractor),orPower of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> bVER1-HE-COUNTER,PERMITTING (copy of contract required) <br /> .RarOdfs*if­shingles Sewers Service Upgrades A/C Fences(PIdt1Survby/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />