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8,13-78M020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received-\ Phone Contact for Permitting <br /> Owner's Nrime �/11 Owner Phone Number <br /> Owner's Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Il II LOT# <br /> SUBDIVISIONPARCEL IDNI 3 iL 0? 490040 1403040 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT F__1 SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL <br /> I A Sr -Ve QL �R Z�OAI, !e"?�A( <br /> DESCPJPT.ON OF WORK 6bd&4enozc4, 46 _4 <br /> U <br /> BUILDING SIZE SQ FOOTAGE HEIGHT E= <br /> . . . . . . . . . . . . . . . . . . <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =F'LUMBING S <br /> �'ECICAL I$ VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATUR,t REGISTERED I Y1 N FEE CURREN, Y/N I <br /> Address License <br /> ELECTRICIAN COMPANY = <br /> IGNATURIE REGISTERED I YIN FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK <br /> Ad dre-5s License#F_ <br /> MECHANICAL COMPANY <br /> SIGNATUF REGISTERED I Y1 N FEE CURREN I YIN <br /> Address hvlgw A&I <br /> License#le" <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YJ N FEE CURRSN <br /> Addre-,s License#F_ <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&I dumpster:Site Work Permit for subdivislonstlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life satety,page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.AN commercial requirements must meet compliance <br /> SIGN PEM-11T Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Direct <br /> ions: <br /> s: <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 s:iingles, Sewers Service Upgrades A/C Fences(PIOVSurvey[Foolage) <br /> Driveiways-Nat'bver Counter if on'public roadwey6..needs ROW <br />