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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Derto Received Phone Contact for Permitting 1413 ) 7 - X000 I <br /> - - - - - - - - - - <br /> Owners Name Owner Phone Number <br /> Owners Address I 1—�q --X0 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I LOT# <br /> JOB ADDRESS 1-12�Rq(0�s <br /> SUBDIVISION F- PARCEL ID# <br /> (OBTAINED ERM PROPERTY <br /> FAX <br /> NOTICE)WORK PROPOSED I-VII NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> V11 INSTALL REPAIR <br /> PROPOSED USE SFR 15 Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ED FRAME STEEL <br /> DESCRIPTION OF WORK ;IA1,4nala Wit wfd 04' jt?04 5;117 <br /> BUILDING SIZE 60 FOOTAGE� HEIGHT I <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> I 1-1. _ -1 <br /> [ZELECTRICAL AMP SERVICE Q PROGRESS ENERGY = W.R.F.C. <br /> =PLUMBING <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . II . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY -,0,—,-A n, )7--QA!i <br /> SIGNATURE REGISTERED Y IN kJ FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y IN k—)FEE CURREN I YIN <br /> Address License# 1p—n <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREI% Ly N L_j <br /> Address License#F- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address U...# <br /> eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeoeeereeeeeeeeee <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 <br /> mittal date Required onsite.Con- ction Plans,Stotmwater Plans-and Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsaarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfing 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 wl Silt Fence installed, <br /> SanftW Facilities&I 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 131=1=s: <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AtC 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 /> Rcroofs if shingles Sowers Service Upgrades AIG Fences(PlatiSurvoy/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />