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813-780-0020 City of Zephyrhills Permit Application-- <br /> f V Fax-813-780-0021 <br /> Building Department <br /> -17 <br /> Date Received Phone Contact for Permi in`g "—O.'`w <br /> Owner's Name Uh 22 � `S Qwno'r'PForie Number <br /> Owner's Address S 335 Sk. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address c <br /> JOB ADDRESS ve�� LOT# <br /> SUBDIVISION PARCEL ID# b 2 Z� '2-� 1717"6-0 ' V 0 A0C)r 0l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL a REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION =; BLOCK 0 FRAME (u STEEL = <br /> DESCRIPTION OF WORK C2c�n 103 V. Oix s1 d\\�_ <br /> 4 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> i <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ .Z�$/ :)o I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER �" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Q f REGISTERED Y/ N FEE CURREN Y/N 1 SDQe �/ <br /> Address 'S� i(� � ��( ��' �IK�J I�( License# l C�J( <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address License# <br /> SIGNATUREMECHANICALCOMPANY <br /> S�� �yQ�S REGISTERED <br /> I�tY EE CURREN N �C <br /> Address I License# 25 22 <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 subdivisionsAarge 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 outapplication 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />