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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting It -75k-h '=5-7/ <br /> a " . . . . . . . 111off-411 <br /> Owner's Nam: . . . .Ow'ner"Phone Number <br /> Owner Phone Number <br /> Owner Address 36 kl� <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address. I <br /> JOB ADDRESS 16^%3,L LOTS <br /> SUBDIVISION IIi'�v of PARCELID#F ')6: 3100- 61-,- --,9 I-DA31 0-Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW C0176 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM tJ OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = ST7L <br /> IV <br /> DESCRIPTION OF WORK <br /> BUILD _�IZE,)4G SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> F '.ILDING VALUATION OF TOTAL CONSTRUCTION <br /> 7ELECTRICAL 7 AMP SERVICE Q PROGRESS ENERGYQ W.R.E.C. <br /> =PLUMBING I$ <br /> =MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> S <br /> =GAS 52—ROOFING = SPECIALTY = OTHER 0S <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . <br /> 0 - <br /> BUILDER COMPANY (—Ta r h_M-eAA_ Cjb,)�k <br /> SIGNATURE REGISTERED Y1 N FEE CURREN L_IL N <br /> Address rJJ 13&� License#1 IOU- [SaEw <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_KLN_j <br /> Address 7 License <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURPEK YIN <br /> Address License <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURFLEK <br /> Address I License#F_ <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y1 N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plan.-,(1)Set of Energy Forms;R-OW 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&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 /> I I I I S 1 5 1 1 1 1 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. (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 (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />