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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department; <br /> Date Received L �J G <br /> I l PhonocContact for Permitting <br /> Owners Nam® W1 6t � Owner Phone Number <br /> Owner's Address Loco C �[ J Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �! <br /> JOB ADDRESS r p�J L cov)4e_ Un. LOT# <br /> SUBDIVISION 1 ► ��V PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAx NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT SIGN- _ = DEMOLISH <br /> INSTALL ® REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK V Y 1 lsl+( <br /> BUILDING SIZE SO FOOTAGE C� HEIGHT <br /> =BUILDING $ VALUATION`OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address L License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP LILN <br /> Address 1 License# I <br /> `` <br /> PLUMBER L/ � COMPANY �` V � 1 r i a/ 1'u J <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn /NN <br /> Address c.JC� License# �' <br /> (MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address A . License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N.7 FEE CURREF <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.subi ilttai'date.:Required onslte,Construction-Plans-,Storrnwater Plans wi/Silt Fence Installed, <br /> Sanitary Facilities_&.1.dumpster;Site Work Permit for subdivislons4arge projects . <br /> COMMERCIAL Attach(3)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,Stornwater 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 PEPAIT 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. (AIC 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 /> DYER THE COUNTER PERMITTING -(Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if:on public roadways..needs ROW <br />