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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received 3m= Phone Contact for Permitting- l.......... <br /> Owner's Name Owner Phone Number <br /> Owner's AddressIL419W W W )ns Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IMUIEW Cwse IN, LOT <br /> SUBDIVISION l l N I V PARCEL IDO 0?L4_ a(9- 0?1 - 01 1 <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR. ADDIALT SIGN, Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL _j <br /> DESCRIPTION OF WORK on <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 944444 444-94 <br /> F--IBUILDING 1$ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> #PLUMBING <br /> 1$ OD <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i R <br /> +H4+++H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I _Y1 N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY I- <br /> SIGNATURE REGISTERED FEE=Rei, <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE DT--h I <br /> REGISTERED Y/ N FEE CURREN &/N <br /> Address ILI 5(i bel i, - rv-j_a 3 <br /> ry) License# k�_� <br /> MECHANICAL+ ' + COMPANY <br /> SIGNATURE REGISTERED ]_Y/ N FEEqURREN: <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I- Y/ N.T FEE CURREN <br /> Address License#F <br /> RESIDENTIAL, Attach(2).Plot Plans;(2)sots of Building-.PI ainis;(1)Set Of En'e-rgy"Fo6s;-R-O-W Permit for new.construction, <br /> Mlnimum.ten(10)yqrklng,days AftersubInIttal date.:Required oniitC'Construction:Plans;Stormwater'Plafis wl Slit Fence installed, <br /> Sanitary Facilities&_1dumpsteq:;5Ite Work Permit for subdivislorisfiarge projecto' <br /> COMMERCIAL Attach(3)complete sets of Building Plans` plus'a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I 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$2300,a Notice of Commencement Is required. (A/C 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 /> DVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If-pn public roadways-ne ads ROW <br />