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813-700-0020 City of Zephyrhills Permit Application Fate-e13-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 6 ✓ ' tQ� / <br /> Owner's Name < /►^ </i> I '—fgt'v► Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address f ^� j�9 `f ` / <br /> JOB ADDRESS Mf 1Ol�y�! �e lt! Jrl/ �7 .[ LOT# <br /> SUBDIVISION Fz�W la 0 ���/l�!/!i PARCEL ID# <br /> (OBTAINED FROM PROPERIV TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT SIGN Q [`] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL Q cot <br /> DESCRIPTION OF WORK �" �,G <br /> BUILDING SIZE f� 1 ISO FOOTAGE v/ t( HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ �! AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. n �' <br /> =PLUMBING 1$ <br /> =MECHANICAL $ i—' VALUATION OF MECHANICAL INSTALLATION <br /> 1 <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER I COMPANY <br /> SIGNATURE RF.GISTERFD Y N FEE CIIRRE N <br /> Address f 356 License# <br /> ELECTRICIAN COMPANY _ <br /> SIGNATURE REGISTERED I Y/ RJ FEE CURREI, Y(N <br /> Address License# <br /> PLUMBER COMPANY I ` <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE �f ::I_Glsi r'IteD Y! N FEE CURREN Y t N <br /> Address � License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address ._. ..�_^ ^i License# <br /> 6ti111lllttti111t111611tiI11 / 1ittI111111I1111111t1t111111At11111111 <br /> RESIDENTAi_ Aliach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ton(10)working days after submittal date. Rcquired onsite,Constructio:I 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 tell(10)working days after submittal data. Required onsile,Construction Plans,Stomtwater Plans w/Slit 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 /> �.� <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$,^Soo,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 />