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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 is <br /> Owner's Name k w Owner Phone Number 13-31a G <br /> Owners Address e P ner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address / !/ <br /> JOB ADDRESS F§P&/jEy-LL L It- <<S �7 LOT## �p� <br /> SUBDIVISION PARCEL ID# �o�"��o".�� — d v' Qd110b"01(] <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 0l _-/STEEL = <br /> DESCRIPTION OF WORK G <br /> BUILDING SIZE �" S SQ FOOTAGE L HEIGHT <br /> TYT��'i®tTTPr .�P'1a1"T PiT ITi—IP'1"'PITC'1®iT�ITI"`��PTI"i'T�i'�PPrFmAmFY� <br /> UILDING $ �ALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (1 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER D <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -.-.=.=. . .-... . -��-'p :.�....-�i....-.�. . ... . <br /> BUILDER ' COMPANY (.0 L S <br /> SIGNATURE C//� nn ,, REGISTERED Y/ N FEE CURREt, Y/N as <br /> Address t� ��/ /� 2 011 33 rq--- License# — a1 r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIt11111111i111111111111111111111lIIIIIIIIIIIIttlll <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,Stonmwater 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 /> -G-1-1-h-1--1�1--f-i-t=.i-I-.i-�-1-�I="f-i-I--4�l-i-i-6.3-t-t-4.4.1-6-i-iml�-f•-F-{-t�i-6-1•-4-1--4-1-Fi-F-t�6.-�1�-4.d-I-a--l-t�l�l- <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. (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 ori`p'ublid roadways.,needs ROW'. ' <br />