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R13-760-0020 City ofZephyrhills Permit Application Fax-813-7MOO21 <br /> r Building Department c (� <br /> Date Received Phane.Contact for Permitting <br /> Owner's Name �- Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address qq <br /> JOB ADDRESS \V .fC x A r LOT# <br /> SUBDIVISION d e d C�a PARCEL►D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> ^ Q FRAME Q STEEL <br /> DESCRIPTION Q <br /> DESCRIPTION OF WORK 'eL o <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q 5�21PLLIMSING S O <br /> =MECHANICAL is lJ1J VALUATION OlFMiECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/,N FEE CURREN LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/:N FEE CURRBA LILN <br /> Address License k <br /> rlf�epta� ce��SCGpt� .d <br /> PLUMBE COMPANY <br /> SIGN RE ^� REGISTERED N FEECURRE1, Yr <br /> Address / Ucense# { ws�� <br /> MECHANICAL COMPANY <br /> SIGNATURE RsasreREoI Y/'N I rFrcum'm' Y!N <br /> Address i License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIe111111111111t1111i111111111111111111 <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,Slorrnwater Plans w/Slit Fence installed, <br /> - Sanitary Facilities&1 dumpsler.Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plena 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 dato. Required ansile,Construction Plano,Stermwater 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 /> d.li.l li. . 1 1 I..L i t 1 1-• • 1 1 1 1 . . . . . . b 1 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2600,a Notice of Commencomorn Is required. (A/C upgrados ovor S7600) <br /> Agent(for the contractor)or Power Of Attomey(far 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(Plo1/Survey/Fcotage) <br /> Driveways-Not over Counter If on public roadways.,needs ROW <br />