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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 16 Phone Contact for Permitting — <br /> Owner's Name Al a rr Owner Phone Number <br /> g7�- 795'-aSyS- <br /> Owner's Address 5 Ll o S a3 r d ,S� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SyD S a3 rd S�- Z e h y rti l lls FL 3 3 s ya LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED H <br /> NEW CONSTR H <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER dowh old 4ace lgfl-E y%ew <br /> TYPE OF CONSTRUCTION Q o BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK f° �CnCZ c'r&Vktd pro Ih bad yard <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> mim <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 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 /> BUILDER -Mau, the,�4 COMPANY hbm-eoL'ah� <br /> SIGNATURE i ` REGISTERED Y/ N FEE CURREN Y/N <br /> Address 5YD 5 a 3'cl ti ✓A it(s rL, 33 s a 1 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I 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 Y/N <br /> Address License# <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 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-ofAttomey(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 /> Dr)veways-Not over Counte'r,i'.f-public roadways..needs ROW <br />