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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 PermittingR S� —2�� 2 <br /> Owner's Name 044c0(9cirQ �'u Owner Phone Number 9 1 3- lg2 5 <br /> I�MOwner's Address c�C�l.� / Pit-— Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 0C)1 04. 1 C[✓� 6 MM IL rrL�/OT# —( <br /> SUBDIVISION PARCEL ID# I _ -2-J.-Co 10 'C5, 3X— 0o40 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0, SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCKS Q FRAMEr' = STEEL = <br /> DESCRIPTION OF WORK V MUM l.0 V�` '14 lam- rl C(ga 5KQ <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> ®MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (/ 1 <br /> 5(�Gi GI <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL [� �� COMPANY )Oe n rin <br /> SIGNATURE REGISTERED Y7 N FEE CURRJ_ I Y/N <br /> Address 1/ pq,A.3%15 License# I C 1 <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED Y/ N I FEE CURREt Y/N <br /> Address License# <br /> IIIIIttlllllllllllllllllllllllllllllllllllllllllllllllllllllllllill <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/Sift 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. (AIC 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />