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813-780-0020 City of Zephyrhills Perm' pplication \ FaX-slsas0- <br /> Building Depa ent q ` /, <br /> Date Received j Z Phone Contact for Pe itting 1)) I / `r <br /> INC <br /> Owners Name J �j p�1 V�f '1 Owner Phone <br /> `r u <br /> Owners Address Z Y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS / v� ► !1 4 S T I �N-' LOT# <br /> SUBDIVISION PARCEL ID# 'L. 1/D�0—0/-1 D Or Zoe <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q 1BLOCK Q tFRAME Q STEEL Q <br /> DESCRIPTION OF WORK 0/1 I v Q W c� Si <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING is <br /> 1` � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 010 6 C <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` f <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN L11 N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr. Y/N <br /> Address A License# <br /> OTHER S COMPANY <br /> SIGNATURE REGISTEREDI I Y/ N FEE CURREN I Y/N r�1 <br /> Address 5 }! I 53SLA9 License# <br /> 111111111111111111'1lllllllllltllllllllllilllllllllllllllltlllllllll <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,Stornwater 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 /> —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$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 />