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813-780-0020 City of Zephyrhills Perinit Application Fax-813ae0-0021 <br /> Building Department <br /> Date Received Phone Cordaet for Permitting 0Mal <br /> Owner's Name /, g / e Ile Owner Phone Number Q S <br /> laNrire�s Address J (O — d_ b Sh!r e, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> -Fee Simple Titleholder Address <br /> JOB ADDRESS �7.3T sh //jj�� �T# �j <br /> SUBDIVISIONd e C PARCEL ID#/d P D DDODD &Na <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DFSCRIPrON OF WORK 96. C © dGG C GAJe tJ 7r'o <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING S <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = "7 ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURRE 1 Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE cuRRE Y I N <br /> Address License# <br /> MECHANICAL ��), ` COMPANY &die f C <br /> SIGNATURE t[ / //� REGISTERED I Y/ N FEE c RREn I Y/N <br /> Address F4 License# <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED I Y/ N FEE CURREr LY/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllilllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RAW Permit for now 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 PGrmit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)compete sets of Bltiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor now construction. <br /> Minimum ten(10)working days after submittal date. Requited onsite,Construction Plans,Stonmwater 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 PEIUMrr Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Diredlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> lf over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attormey-(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(PloUSurvey/Footage) <br /> Driveways-Not over Counter N on public roadways..needs ROW <br />