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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received l Phone Contact for Permitting <br /> Owner's Name /�B A' Rag Owner Phone Number c� t <br /> Owner's Address /(D ���f� S�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Q <br /> JOB ADDRESS V/(J 42 (� �'m G�� S Cd .7e 04 7-AiI/Is LOT# <br /> SUBDIVISION ey )06LYk 441e rz/z 4urPARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE W SFR = COMM = OTHER A/v !f✓r/&.1 <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK SG YPe no /mod'rGx_ <br /> BUILDING SIZE SQ FOOTAGE �'3 HEIGHT <br /> =BUILDING $ /®L �� VALUATION OF TOTAL CONSTRUCTION �a BO f d <br /> =ELECTRICAL $ (O AMP SERVICE,_ Q PROGRESS ENERGY Q 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 r�� COMPANY O e <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ���/��r 1 `r/ License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 I 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 otit 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•Attomey•(fortthe•owr eer.).would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING " (copy'ofcontract;required) ;- -a-:rts;i,',",ji r,s, - Y ' <br /> Reroofs if shingles Sewers '-�"Seniice'Upgrades A/Ci Fences(Plot/Survey/Footage) <br /> Driveways-Not overCouriter'fon`publiCroadways.needs'ROW „;tc..;e .t: ;.ir;;.;,,. , , <br />