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813-78M020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received Phone Contact foffmtEumber <br /> �00a-aOwner's Name /�!'e { <br /> Owner's Address .✓ 6 �V 4�-,, I owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address /J <br /> JOB ADDRESS g9L �7�GJ .��// LOT# <br /> SUBDIVISION � +� PARCEL ID#/eT ;VO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR ADD/ALT SIGN = = DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM Q OTHER <br /> TYPE OF CONSTRUCTION ,= BLOCK 0 FRAME STEEL <br /> DESCRIPT.ON OF WORK 1�e5' �C o <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING Is —'---� <br /> VECHANICAL IS � � VALUATION OF MECHANICAL INSTALLATION <br /> =oAS ROOFING r7 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY --- ---�� <br /> SIGNATURE- REGISTERED I Y 1 N FEE CURREN. Y/N <br /> Address I License <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address Li�cense#�q/�� <br /> MECHANICAL COMPANY 6 I at t/�TT7T .'/°"Y"re �/Gf <br /> SIGNATUR? '� -��I f/� �P/ Z� REGISTERED I Y/ N FEE CURREN <br /> I YYt/NN L <br /> Adch 4V41 AllE r License#���/✓ lJ T � <br /> OTHER COMPANY <br /> SIGNATURh REGISTERED I Y/ N I FEE CURREN Y I N <br /> Addre is License# <br /> IIIIIIIIIt11111111111111111111111111111111tt11111t11t111t11tiltt111 <br /> RESIDENT:AL 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 wl 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/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PEPWIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions; <br /> Fill ou.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 sringies "Sewers 1 Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driven✓ays-Not over Counter it on public roadways-needs ROW <br />