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818-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name Z' Owner Phone <br /> Z <br /> Owner's Address 0 / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ��/t Z <br /> JOB ADDRESS ,E •�+�� d.P�" ��� /� LOT# <br /> SUBDIVISION F77 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK q4'kt, t'ir�p_ <br /> BUILDING SIZE ZQ FOOTA HEIGHT I <br /> . . . . . . y Z <br /> BUILDING $ ��7')b VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0' <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO n fl I <br /> (a.Cr ���- (r&k-f 'S FL.LLC; <br /> BUILDER /7 COMPAANYNY ���t <br /> SIGNATURE REGISTERED G�, Y FEE CURREN Y/N <br /> Address %G4A�Z?A1 ��+J V License# CGC <br /> ELECTRICIAN PANY WMC <br /> SIGNATURE REGISTERED Y/ FEE CURREA I Y/N <br /> Address r'K2 Aida /it �FI'3�c' License It ' 0 b D 10 1 7-6 <br /> PLUMBER CO MPANY 1-OP6 Z— PLUM 10 <br /> SIGNATURE REGISTERED Y! N FEE CURREt Y/N <br /> Address ac l /7/2 License# r L— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllllllllll <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,Stoniiwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivlslons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Slt 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 /> Dire.It ions:• <br /> j Fill out application completely. <br /> Owner&Contractor sign beck 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 Attomey(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 />