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813-780-OD20 City of Zephyrhills Permit Application Fax-813-780-6021 <br /> Building Department <br /> Date Received (� Phone Contact for Peri ittiit S 15 • of as" <br /> Owner's Name et r U l�l Owner Phone Number <br /> Owner's Address Fq(D . 0 C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F_ <br /> JOB ADDRESS E55c105 dd l c I rn uP LOT# <br /> SUBDIVISION i ���� PARCEL ID# to - 5w —o n D <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW-CONIM ADDIALT' SIGN- Q DEMOLISH <br /> R INSTALL 8. REPAIR <br /> PROPOSED:USE Q 'SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 'BLOCK [] FRAME [_� STEEL 0 <br /> DESCRIPTION t50 WORD I n <br /> BUILDING SIZE SQ FOOTAGE=: HEIGHT .� <br /> BUILDING VALUATION OFYOTAL CONSTRUCTION <br /> =ELECTRICAL .. : $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING• $i�v'V• �. _. - <br /> =MECHAlVlGAL $ ION OF MECHANICAL INSTALLATION <br /> VALUAT <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> J . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN ` "Y/N <br /> Address license#f <br /> ELECTRICIAN- <br /> 'COMPANY <br /> SIGNATURE ' REGISTERED Ly/ N jFEE CURREN" <br /> Address i.icense#; <br /> PLUMBER �/ COMPANY i I L.v t I� I tJ <br /> SIGNATURE REGISTERED. Y/:N.: .: FEE CURlRENN { N <br /> Address 7f 511. bC4-h 1 fl cm 90 . Lic-ense# .tic J 3' <br /> MECHANICAL GOMFJ, <br /> !SIGNATURE REGISTERED. Y./ N FEE CURREN: . Y/N " <br /> Address „ .. License#.F . <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED '"Y/ N:..- FEE CURREN Y/N <br /> Address uderise# <br /> RESIDENTIAL,-.- Attgch:(2);P._i6t Plahss,,(2)sets of Building Pia isr ti)set of-"Energy-Foiins R=0=W Pemili for newbohs truc#ori.. <br /> Mlnlmum:t±�n°(10}_,woridng;days.;aftecsubmit(al'date: Required onsits,'Constn ctloh Pl- -'Stomiwat&Plans w/Slit Fence Installed, <br /> Sanitary F;acilities;&;;1.dumpster;•,Slte Work,Permit for,subdtVisions.Aarge prnJe"cts ;<_;. :.,- <br /> COMMERCIAL Attach(3)66rnpletii sets of Btilldid Pans pairs a life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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 Erigtrieered=Pians:_ -."." - <br /> 'PROPERTY SURVEY required,for all NEW construction.. <br /> ---------------------- <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(f(ir the-owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER"PERMITTING -.-(Front of-Application Only) <br /> Reroofe if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewaya-Not over Counter If on public roadways..needs ROW '� <br />