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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �Q ? <br /> Date Received Phone Contact for Permitting <br /> Owners Name / Owner hone Number <br /> Owner's Address /C!/� 14 )6° 46 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I / <br /> JOB ADDRESS � / I�/`� /7 Y. 2h l l�S, f3S LOT <br /> SUBDIVISION PARCEL ID# �l0'.z/ 'a?6'0D- 166 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEWCOLSTR B REPAIR SIGN = = DEMOLISH <br /> INSTALPROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q/, BLOCK p/0 FRAME = STEEL = <br /> DESCRIPTION OF WORK /io <br /> BUILDING SIZE BC 'eL D SQ FOOTAGE ( ✓ HEIGHT <br /> BUILDING $.2�fDU U Q VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ S AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ p6m01 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f ' ' <br /> =GAS = ROOFING 0 SPECIALTY = OTHER 11��11V////008 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . .-/:-_. ... .. . . . . . . ..vim /.�.m. . I(��MMI�'•Vy�t'� d <br /> BUILDER / q. •�r r uCOMPANY• 6fS o Y-� .S • Wrr' 11��p <br /> SIGNATURE ,000/iy 7/ REGISTERED Y/ N FEE CURREN L11 N JII�Y' <br /> Address % / `G/f/ �S License# �,�CS��S3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlI11111111t1111111II11111111111 <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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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,Stonnwater Plans w/Sill 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 /> -i-I--I-.{-{.-F-F.-L..i-H-f.-t�-1�1-i�-1-L-•6�.F..t--f-F-M1-1-1-N-i-f�-let-0�-t-I-1-FF-l�l--f-1�1--f-I�b..l-bL.-I-�l--t-1�1-f-F-F-�� <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-Nofover Counter if on public roadways..needs ROW <br />