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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> r <br /> Owners Name „r4 1� ' Owner Phone Number (� L'1�� % i 19.7 3 <br /> Owner's Address l� r'�t� C Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L" I�� 1 �' z t✓YY' y LOT# <br /> SUBDIVISION I PARCEL ID# Z1-Wl 0- Z,1 �OD- 01 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT Q SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = GOMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME [= STEEL <br /> DESCRIPTION OF WORK C1: f _ 'r _ 8 _ r)• ; <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ � <br /> fiErCWANICAt $ r- �, ,� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY t__.J OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> V <br /> _°-°_°_a_°_°-°-e_.a_!-._-•* e + . . . . . r_. . . • a a t i a 6 t • i a i i a 4 a-i 5 a . I I t a t.i a-aa i-a S ' a-t�a..a•i.a� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh LILN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ! REGISTERED Y/ N FEE CURREt Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREh Y/N <br /> Address ! License# <br /> MECHANICAL / COMPANY <br /> SIGNATURE / / REGISTERED I Y/ N I FEE CURREh JY/N <br /> Address �i� i.J I' 1/t License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREh Y I N <br /> Address License# <br /> IIIIIIItItIlIIllttlllllllllllllllllllllllllllllll ! ! ! llltllllt ! ! ! 1 ! 1 <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 Worst Permit for subdivislonsliarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa 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 /> . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$7600) <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 /> Remofs if shingles Sewers Service upgrades A/C Fences(Plot/Survey/Footage) <br /> a I <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />