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813-780-0020 City of Zephyrhills Permit:Application Fax-813-780-0021 <br /> Building Department <br /> r <br /> 'Date Received Phone Contact for Permitting - <br /> 1 D <br /> Owners Name 1-r V j Owner Phone Number S "1 <br /> LA <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 139be. or LOT# <br /> SUBDIVISION PARCEL 10#JJqO d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM Eie OTHER I lfflkllral I AUMmenteAS <br /> TYPE OF CONSTRUCTION = BLOCK `- Q FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING SI VALUATION OF TOTAL CONSTRUCTION / <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. ( / <br /> =PLUMBING $ tip/ VVV <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER /�OIV P �1 ANY x CO <br /> SIGNATURE REGISTERED N FEE Cu A N <br /> Address ,Z S � License#ELECTRICIAN 7e �10,OMPANY <br /> SIGNATURE REGISTERED / N FEE CURREnn !N <br /> Address J License# L.+ 651 <br /> COMPAN <br /> PLUMBERY.-� <br /> SIGNATURE _ -__REGISTERED' - Y/ N FEE CURREt, I Y N' �- <br /> /9 ++ <br /> Address License# G <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address F License# <br /> OTHER COMPANY Q 1 <br /> SIGNATURE REGISTERED RRF1 N <br /> Address1'8 ` License# <br /> IIIIIIII 111111111111111111111 lilt 11111111111t- 1111111111 <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)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 /> [fever$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 (Front of Application Only) <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 />