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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 Peffnlftlnn <br /> L <br /> Owner Phone Number <br /> mber <br /> [0540WOAY LtOwneft Address OI aI S Owner Phone Number <br /> Fee Simple TitleholderName Owner Phone Number <br /> Fee Simple Titleholder Address A <br /> JOB ADDRESS 165q Q Waquil Tu V L S4 2" h AS V-L 335q 1 1 'LOT# <br /> SUBDIVISION PARCELiD#105-26,2,1"CV86 -00600 - Q114f) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED New CONSTRR ADDZALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK Vwrn Vnp—�5 Fc*r avr-� *wgs <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT I � I <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLA-11ON <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZOR_"REA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER TIMPANY <br /> SIGNATURE 'fq—� I Y/ N FEE CURRa I/AqY <br /> Address ve REGISTERED 56coLl U.S. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREK I Y/N <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_X1 N <br /> Address —1 License <br /> OTHER COMPANY r <br /> SIGNATURE REGISTERED Y/ N FEE CURREK LZ-LN—J <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 /> 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 subdivisionsnarge 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&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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front ofApplicatlon Only) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />