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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i Building Department <br /> Date Received Phone Contact for Permittin 1, CI LA <br /> Owner's Name Phone Number <br /> /9 '` <br /> Owner's Address �50a J Vk 1 1n 1k— DV- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> n <br /> JOB ADDRESS �L0 o t e1�/�6 R Utl�+�J LOT# <br /> SUBDIVISION 1AAdden w PARCEL ID# E) 00- R ' - 01 CO r® or 2 , <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORT(PROPOSED NEW CONSTR ADD/ALT ® SIGN- _ = DEMOLISH <br /> - R INSTALL ® REPAIR <br /> PROPOSED.USE = SFR Q COMM ® OTHER <br /> TYPE OF CONSTRUCTION 1= BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK 1 Y*190 on I <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> 0 PLUMBING N <br /> al <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address License# <br /> PLUMBER / ^ COMPANY �� e�/ 1 r I. Cs{'� I�► 1 <br /> SIGNATURE REGISTERED Y/.N. FEE CURREP I W,/N a <br /> Address T Y 1 1 }� -License# , a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREP. <br /> Address L License# F —� <br /> OTHER ,CIDMPANY <br /> SIGNATURE REGISTERED - Y/ N._. FEE CURREP Y/N <br /> Address License# �- <br /> RESIDENTIAL Attach(2):PlotPlans;(2)sets of Building.Plans;(1)set of Energy�Fortns;R-O-W Permit for new construction, <br /> Minimum ten(1.0)working-days after submittal date.:Required onslte,'Constiuction°Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities.&.1,dumpster•Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)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 /> 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 .-(Front of Application Only) <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 />