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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ^ p /� <br /> Date Received v�l Phone Contact for Permittin l 3 f U- — 09 Q 0 uQ <br /> Owners Name � S \ \ Owner Phone Number 813 u— L <br /> Owners Address S hL%1 S Sq;bwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (� l �J <br /> JOB ADDRESS 51 9 G�7t \ - I � R 3 35-1 LOT# <br /> SUBDIVISION PARCEL ID# lt -Q(9- 1-Cv10 - 3 —b130 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ 0�El INSTALL <br /> = = DEMOLISH <br /> INSTALL B EPAI <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q 13LO�CK(�Q FRAME STEEL <br /> I'V Q <br /> DESCRIPTION OF WORK I ► 7 10A <br /> BUILDING SIZE SG FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = 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 /> FU <br /> BUILDER " COMPANY Ca C <br /> SIGNATURE �� REGISTERED Y/ N FEE CURREN I Y/N 4 <br /> Address Iiqqq rall NVd f License# U5 0 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN LZ/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I License#. <br /> OTHER COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> I <br /> Address License# <br /> I t 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 I l l l l l l t t l l t l l l t t l l I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0 W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-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(far the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If an public roadways..needs ROW <br />