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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Wi <br /> Date Received `` \ Phone Contact for Permitting 13 t 5 _ � 6s <br /> Owner's Name �'f�C1 �rG� �W(c �,� �e�je Owner Phone Number <br /> Owner's Address 3 4�O 5 ��f 2 k Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple,TitleholderAdddrresss <br /> JOB ADDRESS LOT# old <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q` Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION De BLOCK Q FRAME 0 'STEEL Q <br /> ��++ r <br /> DESCRIPTION OF WORK <( �r \' `an d`c �Y��$ . C. . �bvtdedt.ser 2 D!'a4v <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> OrELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> Q?P,LUMBING $ <br /> FZJ'MEdHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> ='GAS Q ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Nei <br /> I. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> , <br /> Address License <br /> ELECTRICIAN , COMPANY <br /> SIGNATURE REGISTERED Y7-N FEE CURREN Y/N <br /> I: <br /> Address License# <br /> PLUMBER COMPANY, <br /> SIGNATURE REGISTERED- Y./ N FEE'CURREN <br /> Address' License.# <br /> , <br /> MECHANICAL COMPANY ' UQf1LAll I`� �S <br /> SIGNATURE- 'REGISTERED N FEE CURRE,C` • -Y/N <br /> Address . 755C.- License# . <br /> OTHER::.. COMPANY _ <br /> SIGNATURE. REGISTERED Y/ N -FEECURREN.. Y/N <br /> Address License# <br /> ....RESIDENTIAL Attach:(2)Plot,Plans;•'(2).sets.of Building Plans;.(1,)set of Energy-Forms;R=_O;W.Permif fo�.new.constructioh— <br /> Minimum ten`(1l))-working days after subrr►ittal'dat'--Required'onsite,Construction Plans;Stormwatee 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/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 /> ""PROP.ERTY.SURVEY required for all,_NEW.construction. <br /> Dlrect(ons: <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.000NTER 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 />