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813-780.0020 City of Zephyrhills Permit Application Fax e13aa0-0021 <br /> Building Department <br /> ' Date Received 1,��C. Phone Contact for Permitting <br /> 114111 . 111111 <br /> 2 [i <br /> Owners Name ,—`'t Ql.� Owner Phone Number l 7 57 3$ <br /> Owners Address C%r 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS o S, Me-CC ► v` IC1 Q- LOT# <br /> SUBDIVISION PARCEL ID# <br /> � (OBTAINED FROM PROPERTY TAX NancE) <br /> WORK PROPOSED INSTALL 8 ADDIALT Q SIGN Q DEMOLISH <br /> P� REPAJR <br /> PROPOSED USE QSFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q a <br /> DESCRIPTION OF WORK Li <br /> t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 /p•7✓ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ V401 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (ram° P <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 11\� OaOMPANY a�� u� ( (pools) <br /> SIGNATURE lJ REGISTERED I LYJN FEE CURREK /N <br /> Address &a p S License# C- <br /> ELECTRICIAN `COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRREn Y <br /> Address NO h.%.c7. License# d 00 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA L11N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREh Y/N <br /> Address License# - - <br /> IIIIIIIIIIIIIIIIIf111111111111111f11tlllllffllfllf / 1t1I111111111111 <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,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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 /> If over$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 />