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819-7B0-0020 City of Zephyrhills,Permit Application Fax-813ae04o021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> "777-t-1-7�1'-1i'1' <br /> Owner's Name i Y Owner Phone Number <br /> Owners Address 0 -- • Owner Phone Number <br /> Fee Simple Titeholder Namo Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ►41 S LOT# <br /> �.•s , �� e <br /> SUBDIVISION PARCEL ID# �+�I <br /> aT APROPERTT TR7(NOT1C <br /> WORK PROPOSED NEW 00NSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ^`Q, FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 1 $O FOOTAGE HEIGHT <br /> =BUILDING s O 1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ C. <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION v <br /> =GAS = ROOFING 0 SPECIALTY = OTHER 4(� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �/ <br /> 464- <br /> BUILDER 1�ANY 1 � � \ • <br /> SIGNATURE ` REGISTERED ��})/N ( FEE CUwtEn YIN p /V <br /> Address 1� ('�L�, License# �(J ��. /// <br /> / // / <br /> ELECTRICIAN COMPANY l VVV� ll <br /> SIGNATURE REGISTEURED Y/N FEE CURREn Y/N mil' <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREK <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE i REGISTERED YIN FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIfilllllllllllllllltlllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Slormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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 fen(10)working days after submittal date. Required onsite,Construction Plans.Stormwaler Plans wl 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 /> PROPERTY SURVEY required for all NEW construction. <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. (AlC 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 COUNTER PERMITTING (copy of contract required) <br /> Rerools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways,.needs ROW <br />