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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name /I�+ {��S JI'iE�(z1iS Owner Phone Number <br /> Owner's Address q76 ibei,) Aee,i ST 3S ( Owner Phone Number <br /> Fee Simple Titleholder Name ECo np fence- LI-c Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6 tiJ e`-i W kea LOT# <br /> SUBDIVISION SI Lvt il"80 RNGh PARCEL ID# 05- c,W—d,l r 00 70—oo-3 oQ—o i;Lo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK TrJ STWII Vc <br /> BUILDING SIZE SQ FOOTAGE aa�' HEIGHT [� <br /> =BUILDING $ LlJ-0O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ] AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ' o COMPANY <br /> SIGNATURE r REGISTERED Y/ N_J FEE CURREN ttl <br /> Address ��03c v�{- leT���, !�� wesL License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER' COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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,Stormwater 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).woU1d be someone with notarized letter from owner authorizing same <br /> OVER-THE COUNTER PERMITTING (copy of contract requkbdi `•. <br /> Reroofs if shingles Sewers Service'Upgrades:A/C:,°,. :•Fenbes(Plot/Survey/Footage) <br /> Driveways-Not over Conter ifon-public'roa'dways'.:needs,ROV1l <br />