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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 1( <br /> . . . . . . . . . . . . . . . . 1111114 . . . . . . . . . . . . . . . . . <br /> a <br /> Owner Name 64 10-ro Owner Phone Number 77r? <br /> Owner's Addressl vO Ft., �oaer(!�-r Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID#1 11-,Q&-dl—W(0-lb-VO —0//5 J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF--1 ADDIALT SIGN DEMOLISH <br /> R INSTALL F--1 REPAIR <br /> PROPOSED USE = SFR F--1 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK 144—ra 0 <br /> BUILDING SIZE SO FOOTAGE F—IT-1 HEIGHT <br /> 1 <br /> B LDING $ —7-2 13-0 VALUATION OF TOTAL CONSTRUCTION <br /> :2 1 -- <br /> rELECTRICAL $ AMP SERVICE PR - ENERGY-ENER Y W.R.E.C. <br /> =PLUMBING <br /> �`-ever ' dap rt_S <br /> =MECHANICAL $ VALUATION OF MECHANICAL INS LLATION <br /> =GAS ROOFING'*-K SPECIALTY F-1 OTHER �� pereni' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA NO <br /> nn <br /> JThi� cwo ol�BUILDER COMPANY orK <br /> REGISTERED q'i -FEN Y I N <br /> SIGNATURE (4N I E CURRE <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YJ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN LKLN J <br /> Address I License# F— <br /> MECHANICAL COMPANY <br /> • SIGNATURE REGISTERED I Y/ N. FEE CYRREk. LILN_J <br /> Address I License# <br /> OTHER• 'COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN Y19 <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 /> onstruction <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I 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 /> t.r4.ft I to 4s:. <br /> Fill out application compiptely. <br /> Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (AfC: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(PIot/Survey/Fo9tge) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />