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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 /> Owner's Name �Sy,C-r V 77 7<V� ✓S Owner Phone Number r <br /> ht�I� <br /> Owner's Address l Owner Phone Number 0 3- 7-7 7—,63c2q41 <br /> Fee Simple Titleholder Name a) Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E15 °*►I LOT# I <br /> SUBDIVISION L PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL 11" REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK l <br /> BUILDING SIZE ��1� , SQ FOOTAGE HEIGHT <br /> =BUILDING /?o $ j [ e3jr' OD VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHA <br /> NICAL INSTALLATION '' " <br /> =GAS ROOFING 0 SPECIALTY = OTHER 4-?j�Z 3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> / l <br /> BUILDER Mir J�0 COMPANY � �/-i27 >� 22 •I I <br /> SIGNATURE REGISTER Y/ N I FEE CURRE Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I 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 I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/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 /> Direct ns io : <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 /> • *' A ent(for the contractor)or!Power)of.Attom eyforahe,owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIT <br /> ::,(copy.of'contractrequired) <br /> Reroofs if shingles -...Sellers. . Service Upgra des,'A/G Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />