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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 re Owner Phone Number I -t z b- 20b <br /> Owner's Address (o ( -i ci 1 lc-tl Owner Phone Number <br /> Fee Simple.Titleholder Name Owner Phone Number <br /> Fee Simpl'e1itleholder Address <br /> JOB ADDRESS / tD 47l 1 `ems I " LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL 0 <br /> DESCRIPTION OF WORK ViYI 1 -�etn c e l LIP q _7 (o-�-I'- �' 2`/Z > lad <br /> BUILDINGSIZE SQ FOOTAGE= HEIGHT <br /> =B,UILDINGVALUATION OF TOTAL CONSTRUCTION)70 <br /> =ELECTRICAL $ '—j- J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION�> <br /> �7 <br /> =GAS = ROOFING Q SPECIALTY = OTHERa <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER j, COMPANY IQ1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN, Y/N <br /> Address License#- <br /> i, , <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN' Y/N <br /> Address License#" <br /> PLUMBER{ -COMPANY <br /> SIGNATURE REGISTERED. Y'/ N FEE CURREN <br /> I - <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YJ N: FEECURREN -Y/N <br /> Address License# <br /> O rHER;:. ., COMPANY <br /> -SIGNATURE REGISTERED Y./ N FEE CURREN_ Y/N <br /> Address License <br /> \ .RESIDENTIAL Attach,(2)Plof.0Ians;,(2)sets.of Building Plans;:(!.)set..of Energy Forms;,R=O=W.Permit for.new-construction,. <br /> Minimum teri'(1"0yiirorking days aftersubmittal'date:Regdfred'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 of Building Plans plus a Life_Safety Page;(1)set of Energy Forms.R-O-W Permit for new.construction. <br /> Minimum'ten(10)worklrig days"after submittal date..-Required on'site,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&Contractorsigm.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-ofAttorney-(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVER,,THE=LINTER PERMITTING (copy of contract"required) <br /> Rehoofs if shingles Sewers Service'Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />