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815-780-0020 City of Zephyrhills Permit Application Fax-813a8M021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( �r✓ ) /�� - v��� n p <br /> Owners Name /// L Owner Phone Number - 7/9-/9oS <br /> Owners Address T . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S l' J d G�/7 �� �+ LOT# <br /> SUBDIVISION PARCEL ID# a/ Doc® Da /9 <br /> (oirmw D FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEwcoNSfR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM Q OTHER j <br /> TYPE OF CONSTRUCTION J= BLOCK .y�Q FRAME ,,,,/Q STEEL Q <br /> DESCRIP=N OF WORK l G !J�/7/ d � '" "" C�� ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. j <br /> =PLUMBING is <br /> �tECHANICAL $ O VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY '/ <br /> SIGNATURE REGISTERED I Y/N <br /> Address �T�/ En1 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FES CURRE, LXLN <br /> Address License# <br /> 11111111111111111111I1111111111111111111111911111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomtwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpstor;Site Work Pamdt for subs ivisions/larpe projects <br /> COMMERCIAL Attach(2)complete sets of Building Plants plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)wottdng days after submittal date. Required onsite,Construction Plans,StornKater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet cornpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Dfreetiorts: <br /> FIII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over 05g0,a Notice of Commencement is required. (A(C upgrades over$7500) <br /> Agent(for the contractor)o)Power of Attorney(for the owner)wodd 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..rieeds ROW <br />