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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 —Owner's NameUAV/c) 4J K'Y Owner Phone NumbeqE� 3C 7 . 3T�7Owner's Address ✓7Z•S Owner Phone Numbe <br /> Fee Simple Titleholder Name L Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# 'b <br /> SUBDIVISION PARCEL ID# 0 C —Z E" 2 1'—C!G 10 —06300— 0050 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE F73q SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK © FRAME = STEEL 0 <br /> DESCRIPTION OF WORK C z-G S . - PG( "T ® S °TT <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> ET]BUILDING $ �� ®® VALUATION OF TOTAL CONSTRUCTION <br /> F_FJELECTRICAL $ ��, o d AMP SERVICE = PROGRESS ENERGY 0 J Y.R.E.C. <br /> 2.=PLUMBING $ <br /> vZ� �V� ll <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION c <br /> el <br /> =GAS = ROOFING 0 SPECIALTY = OTHER F2) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Yo M F_ ®" LfC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY C7t,Ia> <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I 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 L11 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 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Gomrrlenc'em®nt is'required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)o[:Powerof At4omey'(for tlie'owner)would be someone with notarized.letter from owner authorizing;same' <br /> OVER THE COUNTER PERMITTING: ;(copy of,contract`required) 2c.c;.` %•' <br /> Reroofs if shingles,:,c.: Sewers, :: Service Upgrades-A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />