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813-780-0020 City of Zephyrhills Permit Application Fax-913-780-0021 <br /> Building Department /1 <br /> Date Received �— I Phone Contact for Permitting a <br /> 1 1 1 1 1 1 1 1 �y IRIAN <br /> Owner's Name I I S c On t Owner Phone Number <br /> Owner's Address l//&P 1 Ct" _ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n <br /> JOB ADDRESS V 1 C.tl �//�� //' ��L//O��T# I l! <br /> SUBDIVISION s1 ©Q PARCEL ID# V3~al0-0 f DUI 3Q`WCM—Ian <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN(OBTAINED FROM PROPERTYTAX=NOncm DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION {Q7 BLOCK QQ FRAME = STEEL = <br /> DESCRIPTION OF WORK r'1CG T�OU CW)Ql r� 1 I Z S+ I y �nGOLc:S a a tG(t fi ��a � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ ( / VALUATION OF TOTAL CONSTRUCTION <br /> 1p <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r <br /> =GAS = ROOFING 0 SPECIALTY I <br /> OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD NE A =YES NO O <br /> t <br /> BUILDER COMPANY �O P r ' nO e I! l <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# p O pc <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 • <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(1,0)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 /> 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 Attomey(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(PIot/Survey%Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />