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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> y • c <br /> Date'Received Phone Contact for Permitting 3 7, —' L <br /> Owner's Name L/ Owner Phone Number <br /> //�� <br /> Owner's Address �/ 71101- O C S 9/✓ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple+Titleholder Address <br /> JOB ADDRESS O el l a 7_ , S'% LOT# <br /> SUBDIVISION F PARCEL ID# '��'�/6,�,21- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> R INSTALL �. REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF.'CONSTRUCTION Ot BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF WORK _ <br /> `BUILDING SIZE SQ FOOTAGE® HEIGHT <br /> ®IB;UILDII $1 =c, ] VALUATION OF TOTAL CONSTRUCTION <br /> =!E,LECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =#LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER! COMPANY /CSC ` c� jJ C <br /> SIGNATURE =1212v`' REGISTERED / N FEE CURREN. /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> -SIGNATURE REGISTERED Y'VN FEE CURREN Y/N <br /> { <br /> Address License# <br /> PLUMBER: 'COMPANY <br /> SIGNATURE REGISTERED= Y7 N FEE'CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE - REGISTERED. Y./ N FEE-CURREN <br /> Address License# <br /> OTHERa COMPANY <br /> 77771 <br /> SIGNATURE, REGISTERED Y/ N FEE CURREN. Y/N <br /> Address -License# <br /> .., . <br /> 'RESIDENTIAL Attach(2),Plot.Plans;(2)sets_of Building Plans-,`(I)set of Energy,Forms;'R=O W.Permit for new.construction,. <br /> Minimum ten(10)w-orking days after submittaf 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 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.-OcEngineered.Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> DirecEioris: <br /> Fill'out application completely. <br /> Owner&•Contractorsign back of application,.notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> ** Agent'(for the cbntractor),:br Power-of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 011ER{THE•COUNTER PERMITTING (copy.of contract required) <br /> ReroofsAf shingles Sewers Service"Upgrades A/C- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter.if on public roadways..needs:ROW <br />