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813-780-0020 Fax-813-780-0021 <br /> City of Zephyrhills Permit Application <br /> (Building Department <br /> Date Received• / /� Phone Contact for Permitting <br /> Owner's Name -e 0. P /`�f Owner Phone Number <br /> Owner's Address 7739 1)266k 1/1 I P elf Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 7-3 7 In e/C41,1 1/P LOT# <br /> I <br /> SUBDIVISION PARCEL ID# _35'� Z 0120-0067X)-62(?0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> ri <br /> DESCRIPTION OF WORK 61 ll/ � ��@ 1"��C P 2-3 2 ' <br /> BUILDING SIZE FOOTAGE HEIGHT <br /> =BUILDING $ � DO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUAi ION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPIECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ( e One <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address S License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <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 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 of•application„notarized <br /> If over$2500 is Notice of Commencement is requ red.,,(AIC upgrades over$7500) <br /> " Agent(for theycontractor)tior Power ofrAttomey(fog the owrier)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER-PERMITTING.,:.;''.(copy,of 6ntract.required I <br /> Reroofs if shingles ' Sewers:.w_ Service_Upgrades /VC l Fences(PlottSurvey/Footage) <br /> ._. <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />