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813-780-0020 City of Zephyrhills Permit Application Fax-e13-7e0-0021 <br /> Building Department <br /> Date Received Phone Contact for PermlttlnB -71--7 s $'"- —L4 i L4 � <br /> ' 1 1 1 1 1 1 1 1 <br /> Owner's Name 'n J Owner Phone Number <br /> Owner's Address 7�07 ,L T-GY Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS N0-7 /.TT o—hy t T Y Z rt-Rii LOT# <br /> SUBDIVISION Iah � ' PARCELID# d3'Z.[o--2/ 623U'OLWOO "/7-70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 15i�Fl SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION n® B LO(�CK 1.t�I ,FFRrA1ME Q/ STEEL Q <br /> DESCRIPTION OF WORK IF S <br /> BUILDING SIZE SQ FOOTAGE YD" HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL" $ 0 7l6' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �D I� COMPANY <br /> SIGNATURE I�7(� ( /l`REGISTERED FEE CURREN Y/N <br /> Address I /! U 0 J �f, J-DC) License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED - I Y/ N FEE CURREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N" FEE CURREn I Y/N ' <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Ly/N <br /> Address License# <br /> Illlltllll"111111111111111111111111111111111111111111111111111111111 <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 dumpsteF;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 /> Duections:' <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />