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813-7eo-W20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department- <br /> Date Received Phone Corrtaet for Permitting 313) <br /> Owners Name sI AJ 7-4 MAZ �. Owner Phona Nwnber <br /> owner's Address �!J owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> I <br /> Fee Simple Titleholder Addresses �� <br /> JOB ADDRESS �o lr' o���dN j/),0 • //�®.o�� /©3y� LOT/#��/� <br /> SUBDIVISION PARCEL IDa !✓3w r�(B-�e- I/�®dGY� �� <br /> (oarAwED FRor PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONm ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIpT ON OF WORK 0pe- a 2 <br /> BUILDING SIZE SQFOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =FLUMBING Is QV <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> I <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y!N <br /> Address License# <br /> MECHANICAL COMPANY A/1re <br /> SIGNATURE 'I REGISTERED I Y/ N FEE CURREt I YIN I <br /> v <br /> Address 1 License#VAdd <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE cuRREn I Y IN <br /> Address License# <br /> IIIIIIItllltllllllllllllllllllllllllttlllllllllllllllllllllllllltil <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)woddng days after submittal date. Required onsite,Construction Plans,Stormvrater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Builft 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,Stamlwater Plans wl 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 far all NEW construction. <br /> Direct <br /> or I <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. WC:upgrades over$7500) <br /> Agent(for the contractor)or.Power of A#mey(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(PkWSurvey/Foofage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br /> i <br />