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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 /> ,-. -IF --4�:�/ . <br /> -t-f-r-11711 r 12 <br /> Owner's Name VA A V_ Owner Phone Number <br /> Owner's Address I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -Z_'eP'h.jrbj LOT# <br /> . . 4 <br /> SUBDIVISION PARCELID# oo 1(9— 01 wo— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR F__1 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK ON"A'AS' I gu,-Idim; If"I" del,;) dPWf-"9 <br /> BUILDING SIZE SO FOOTAGE F 4007 HEIGHT I l0i(P41t aK <br /> V. . . . . . . . . . . . . . <br /> ALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING F__] SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 0 e A) Jim A6 Jfk&�Al 0 d 441.4 <br /> SIGNATURE 14� REGISTERED Y/ N A FEE CURREN I Y/N <br /> Address License# 1 C,e_•e 1<7 q 43 <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L�N <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED YJ N FEE CURREN <br /> Address —1 License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN <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/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsnarge 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 Attorney(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 />