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818-780-0020 City of Zephyrhills Permit Application Fax-813-78MO21 <br /> Building Department <br /> Date Received a /� Phone Contact for PermittingCpJQ� <br /> Owner's Name Q t/_ Owner Phane Number C�O <br /> Owner's Address Z 0- `.1' Owner Phone Number <br /> Fee Simple Titleholder Name Pf Owner Phone Number <br /> Fee Simple Titleholder Address k3 <br /> pp +� 1 <br /> JOB ADDRESS O C ,fir iy r•//��//L e `� �� 11 LOT# <br /> SUBDIVISION PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW <br /> CONSTR BALL REPAIR SIGN = = DEMOLISH <br /> PROPOSED USE = SFR Q COMM = OTHER 0,Q <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q I I <br /> Q1' <br /> DESCRIPTION OF WORK A Yo Q �e () Q q <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ ®�O 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 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> OU <br /> BUILDERCOMPANY <br /> SIGNATURE IiMPANY <br /> RREGISTERED Y/ FEE CURREN YIN <br /> Address 1Q r-e C r it S License# l <br /> ELECTRICIAN <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# ll <br /> PLUMBER COMPANY i✓� lylvj n <br /> SIGNATURE REGISTERED ++ ''Y/N FEE CURREN I <br /> `YJ/N <br /> Address 'Ft;.ca1 <br /> ( CI^� ' License# r <br /> MECHANICAL COM 1Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 11111 IIIII11111'Iit11111111IfIIIIII-IIIIIIIIIIIIIIII1111I111111111111 <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)working days after submittal date. Required onsde,Construction Plans,Stormwater Plans vd Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 Yd 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 /> II 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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />