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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received b�a�j� Phone Contact for Permitting <br /> 3 <br /> Owner's Name $ Owner Phone Number <br /> Owner's Address 3 f Owner Phone Number <br /> Fee SlmpleTltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �b -3 LOT# I Y <br /> SUBDIVISION j © i s PARCEL ID# <br /> !' - v I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0" Q DEMOLISH <br /> !` e INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE Of 6?ONSTRUCTION 4° BLOCK = FRAME Q STEEL 0; , <br /> iTI0 ^ . <br /> DESCRIPTION OF WORK -� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ='BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 7 3.s0 <br /> QEL'ECTRICAL $' AMP SERVICE Q -PROGRESS ENERGY Q• W.R.E.C. <br /> =PLUMBING $ <br /> di <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> $ <br /> =:GAS = ROOFING Q SPECIALTY = OTHER �1 (jJ, �•��_ � 9� � / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER;: COMPANY <br /> SIGNATURE REGISTERED' /' FEE CURREN Y/N . <br /> I•: <br /> Address 2 2., 6/y License# C'PG <br /> ELECTRICIAN COMPANY i <br /> `SIGNATURE' REGISTERED• N ' FEE CURREN <br /> Addl ss D. I Cl ; ' e 3�` License# CG <br /> PLUMBER r, COMPANY <br /> SIGNATURE •• REGISTERED'. FEE'CURREN <br /> j;s:I Y�2 33G/ License# 'g-3 <br /> Adar®Ss:'. <br /> MECHANICAL COMPANY <br /> SIGNATURE,_: REGISTERED. Y:/.N/... FEE CURREn <br /> Address- License# <br /> OTHER =, COMP,ANY <br /> .SIGNATURE' REGISTERED Y/ N FEECURREN.' Y/N .. <br /> Address _ License# <br /> +•,`RESIDENTIAL' ' �`AtfacFi(2)PIotPlans;,(2)sets.ofBuildingPlans;;(1),setofEriergy,Forms;R-O;W;Pennlffocnew,construction,,,- <br /> Minimum ten(10)working day-.-fAersubmittal-date. Required'onsite,Constniotlon P.Ians;Stortnwater'Plans w%Silt Faroe installed,- <br /> Sanitary Facilities&1.dumpster,Site Work,Permit for subdivisionsnarge projects <br /> 'COMMERCIAL.. Attach(2)complete sets of BuildingrPlans'plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum'ten(10)working days afte-,submittal date:'Requlred;onslte,Construction Maps,.Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities•&'1 dumpster:Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT At6aoK(2)sets,of,Englneeied.Pians.:• <br /> —PROPERTY:SURVEY iequlred for all NEW constriction. <br /> Directions: <br /> Fill out application completely., <br /> Owner&Contractor sign back of application,notarized <br /> If over$250Q,a Notice of'Commencement is requlred.- (AIC upgrades over$7500) <br /> Agent(fat the contractor).or Power-of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 1,-OVERgNE.000NTER'P.ERMITTING- (copy of.00ntract,reguired) <br /> "Reroof§`ifshingles Sewers ServieeUpgrades-A/C 'Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />