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813a80-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address JLF(74 :ST6P 6,64 -7 - Owner Phone Number <br /> Fee Simple:Tltleholder Name Owner Phone Number - <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � �� Ail r:�f�lt... � LOT# <br /> SUBDIVISION F 511_y g_ PARCEL ID# Oc ;Zi`A• i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT S16N' Q Q DEMOLISH <br /> R INSTALL 8" REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL Q <br /> i' <br /> DESCRIPTION OF WORK11J�J <br /> -,BUILDINGISIZE SQ FOOTAGE HEIGHT �^ <br /> 44. <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY. Q W.R.E.C. <br /> 7 <br /> PLUMBING $r <br /> 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> . r <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA AYES NO <br /> 's <br /> i <br /> BUILDER (: COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN• LXLN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LLLNz_J FEE CURREN, <br /> Address' -License# � � <br /> PLUMBER" ` COMPANY <br /> SIGNATURE REGISTERED Y/ ND__ FEE`CURREN T77y/N <br /> Address: License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE 'REGISTERED., Y./ N . FEE,CURREh_' ,Y/N <br /> Address: License# ; <br /> OTHER;;_; COMP,ANY /}� fs� Q.�//c�� <br /> SIGNATURE ,REGISTERED I Y/ N FEE'CURREN. <br /> Address - �Y(i - y'i" l/ License# C P <br /> RESIDENTIAL. Aftach,(2)Plof,Plans;,(2)'sets.of Building Plans;:(!)set of Energy.Forms;R-4=W-Per`mif c foi.new. onstrucooh,,. <br /> Minimum ten"(10)'working days after submittal•date:Required onsite,Construction Plans;Stormwater Pians: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,,Starmwater Plans.w/Silt Fence installed, <br /> Sanitary L 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 /> Diteettoiis: <br /> Fill'out application completely. <br /> Owner&Contractorsign.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 /> r <br /> "OVER:THE,COUNTER•PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service•Upgrade's A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter"if on public,roadways..needs ROW <br />