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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received 2 q jy Phone Contact for'Permitting <br /> Owner's Name �� (� to HCJ j S L GG Owner Phone Number <br /> Owner's Address Owner Phone!Number �- <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 1 (� '`� Ave. . LOT#. <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0:, Q DEMOLISH <br /> i. <br /> e "INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION . BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK fev'WCG <br /> BUILDINGISIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION. <br /> =ELECTRICAL $ Z000, eel AMP SERVICE ZZC1d PROGRESS ENERGY .,0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> E L . <br /> =GAS 0 ROOFING Q SPECIALTY OTHER " <br /> FINISHEDiFLOOR ELEVATIONS FLOOD ZONE AREA =YES" NO <br /> r, BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N• FEE CURREN <br /> Address F License# <br /> { <br /> ELECTRICIAN � COMPANY AC 0 ev Vl G LL G <br /> SIGNATURE REGISTERED Y./ N FEE CURREN Y/N- <br /> t r <br /> Address ( J��Z� �eS ur'e j /✓ . .... <br /> License# f:C 1700ZZ-73 <br /> z <br /> PLUMBER ` COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address. License#"� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 'Y/N <br /> r, <br /> Address, License# <br /> OTHER •G,.r COMPANY <br /> SIGNATURE -REGISTERED Y/`N FEE CURREN Y,/"N <br /> Address F7 License#7 <br /> RESIDENTIAL Attaahi(2),Ploti Plans;'(2)_setsof`Building'Plans;(1 j set Of'Energy Forms;R-O-W'Permit for new construction, <br /> Minimum.ten:(10)workta ing i iih6i submittal date ',Required'onsite-ConstructionPlans,Stormwater Plans,w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsliarge 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.dateRequired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,. <br /> Sanitary.FacilitleiA 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 requiredfor'all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&;Con_tractor 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(far the.owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE.COUNTER PERMITTING (copy af_c.-ntract required); <br /> Reroofs if shingles Sewrecs._. Service,!iPgraifesy1AlG:y:; Fences(Piat/Survey/Footage) <br /> Driveways-Not over Ccuriter if on blic'roadW6ys:needs RUW <br /> +,-;.;" ,,apt.c..t.ro'!'i•.t., i.., <br />