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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 <br /> n <br /> Owner's Name v M U N Iv Owner Phone Number <br /> Owner's Address tQ U 2, VV A C,0 N T2-A Z L S T Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address �l r� Y� <br /> JOB ADDRESS l l!Z NI AGt U N 1 r—k A r L S r• LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q ;y� <br /> DESCRIPTION OF WORK OF 17- lQ PH0IVv�L Ar 5LlISM' \ . <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> UILDING $ O.►{Q VALUATION OF TOTAL CONSTRUCTION <br /> ECTRICAL $ LNJ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l , <br /> =GAS = ROOFING Q SPECIALTY = OTHER OAJ-Dc"✓ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 4fa <br /> ;S G yyy111 <br /> BUILDER COMPANY }' <br /> SIGNATURE GISTEREDvfAr <br /> Y/ N FEE CURREN Y/N a <br /> Address License# <br /> ELECTRICIAN COMPANY T c N,T A lzD <br /> SIGNATURE REGISTERED lay N I FEE CURREN I Y/N <br /> Address I QQ\N, HANNt9 }EVE 7-nHP)q 1 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 /> It r&e c't i t s': <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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 />