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7 v,0 l%r U( C-- <br /> 813-780-0020 City of Zephyrhills Permit Application ra -0021 <br /> Building Department <br /> Date Received ��ZZ�� Phone Contact for Permitti g — <br /> Owner's Name 46 <br /> �►/i .�—� / Owner Phone Number <br /> Owner's Address r7 f� l f� 7i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,fr l LOT# <br /> SUBDIVISION J PARCEL ID# ( `Z!a'z/`UQIO" _-*00- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT O SIGN O DEMOLISH <br /> El INSTALL REPAIR <br /> PROPOSED USE SFR COMM O OTHER <br /> TYPE OF CONSTRUCTION O BLOCK Q FRAME O STEEL E_ <br /> DESCRIPTION OF WORK Ce (J2bilvi .;-C St <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> `_,__ - <br /> BUILDING / G1 VALUATION OF TOTAL CONSTRUCTION / <br /> T [ l V <br /> OELECTRICAL �$ -- CAMP SERVICE PROGRESS ENERGY O W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY O OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> rw <br /> BUILDER a OMPANY Ok fI <br /> SIGNATURE xx REGISTERED Y/ N FEE CURREN Y/N <br /> Address ) L /J� !� License# AG <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N 1 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr. <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllt <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 dale. 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(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 />