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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 Fs 3 ��S - a 3 3 3 <br /> Owner's Name �CZ�iG��1G't Z (�j Owner Phone Number r&13 mc7-S-9 R t <br /> Owner's Address /J'7.30 /VD 4;tt 1 Owner Phone Number <br /> Fee Simple Titleholder Name y Owner Phone Number <br /> Fee Simple Titleholder Address y �� <br /> JOB ADDRESS Fs-3 w 6aa sl ad• 5 /�(i 3 3S�-foZ LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK //FRAME = STEEL L�� 4t <br /> DESCRIPTION OF WORK //IS IUD —C4 , S �� /—G1 Sit e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING I$a,a 9 - VALUATION OF TOTAL CONSTRUCTION <br /> AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> Zoo`ll <br /> VALUATION OF MECHANICAL INSTALLATIONS .� <br /> ING 0 SPECIALTY = OTHER ` f �i /`a� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ryl COMPANY <br /> SIGNATURE �J�xTREGISTERED Y/ N FEE CURREN <br /> Address 24l�00 s•�' 'U ro t it.u L ?735 °� License# C t�G O(vD 2�f <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J 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" 'Atta'cFi(2)complete sets ofBuilding Plans pfus`a Life Safety Page;(1)set of Energy Forms.R=O-W-Pertnit 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 /> . . . . . <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 /> OVER"THE COUNTER PERMITTING (copy of contract required) <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 />