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813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received Z Q 6 <br /> �t Phone Contact for Permitting q '7 <br /> Owner's Name A741' /•/L- Owner Phone Number O / 7 1 <br /> Owner's Address r/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �f y <br /> JOB ADDRESS � ('4 /r 1� L J� LOT# (Z <br /> SUBDIVISION �I�Fp,89 R ASTi�d PARCELID# t(4- Z(P-?'- /�VC)`0- rU MU - Q I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK 1 1_16O(v I` e w l <br /> BUILDING SIZE I SQ FOOTAGE V� HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ *y,�-�O AMP SERVICE Zp)C Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �V <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =GAS = ROOFING =] SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y!N FEE CURREN Y!N <br /> Address 1 (� License# <br /> ELECTRICIAN E�� - {} COMPANY FC))pL+ 0e_ <br /> SIGNATURE 11 rr,��F�JL�.V REGISTERED Y N FEECURRET !N <br /> Address 6�VV S� JVA <br /> I C 2jJp I License CA 3 00I 1 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREF <br /> Address License# <br /> MECHANICAL FCOMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURM LY/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N' FEE CURREn <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(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 subdivislonsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomnvater 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 /> Drrectrons. <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(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />