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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department C �/ <br /> Date Received L Phone Contact for Permitting 1 7ff — J 1 <br /> Owners Name IlQ U e- Owner Phone Number <br /> Owner's Address qlD OA a L C, J7f l Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /I-- <br /> JOB ADDRESS D o� C LOO,T`I#\ <br /> SUBDIVISION t4oYf UOA PARCEL ID#1 `0) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT ® SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK U n <br /> BUILDING SIZE oz�Ko1 SQ FOOTAGE� HEIGHT <br /> T PlY1TITPITI"IYI"�F�r�rT�FTP�YTI�IT[�ITIrI'TFTT'TI"7'°'I�PT'r�PTI"7"1�1�19�1'"fY <br /> BUILDING $ R/_ .CQ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ lY V AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �/J� '` OMP NY (/L L(J 1 c(�Qc--ty:xtl '� <br /> SIGNATURE A�A / REGISTERED Y/ N FEE CURREN Y/N <br /> Address lL/ Z / _R�q 3— License# CIS G I-L L 0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 111111111111111111111111111111111IIIIIIIIIIIIIIIIlItIllltt1111II111 <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,Stonnwater 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,Stonnwater Plans w/Sill 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 /> 1+ <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. (AIC upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Atlomey(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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..rleeds ROW <br />