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813a80-0020 City of Zephyrhills Permit Application Fax s1a-7s0-0021 <br /> Building Department <br /> Date Received �O _(03 ST- <br /> I J.Ph.n,.Contact for Pertnittin <br /> Owners Name L 'A Owner Phone Number S 7iZ <br /> Owners Address 3 r Owner Phone Number <br /> Fee Simple Titleholder Name '� Owner Phone Number <br /> Fee Simple Titleholder AddracsJ 3� q <br /> JOB ADDRESS CC W 5,— •, LOT# <br /> SUBDIVISION J PARCEL ID# O L Z(VD C),)fl r <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK //�� 0 FRAME = STEEL Q M1 <br /> DESCRIPTION OF WORK Ca cv� A C J -3�(� <br /> BUILDING SIZE F FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> n/MECHANICAL $ Z3 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> —1 Milli . . liii liiiiis . . . . i. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License <br /> MECHANICAL [=J" COMPANY �� c L �CtJDL„ <br /> SIGNATURE REGISTERED I Y/ N FEE CURREnN�/�1 nnY/N <br /> Address 3 3 v� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREt Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsAarge 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 Pemilt 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 /> ' ' 'Direcdons: ' '' "' -- <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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (ropy Of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />