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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> K ` <br /> Date Received <br /> p,/ �7— "1 '/'Phone Contact for Permitting �7 <br /> Owner s Name ��L C.S/ &JCJ I(1t--: f 1. / . Owner Phone Number <br /> Owners Address fS� /j U0)Uk AN /)- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address)) <br /> JOB ADDRESS d a C9 CC L 140 �'[ /c /764C S <br /> `` ,�ey�.er LOT# F <br /> SUBDIVISION PARCEL ID# o(A s--21f`Wl( -U?"26 O(( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTRy`I� ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> �cro�'" <br /> DESCRIPTION OF WORK r✓ c `'- ! � S S R� -pri 1 U� <br /> BUILDING SIZE I = SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =}.�P�LUMBING $ <br /> I XIIotECHANICAL $ �,_`O VALUATION OF MECHANICAL INSTALLATION <br /> `(T=GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY i <br /> SIGNATURE REGISTERED Y N FEE CURREr. Y/N <br /> Address License# [ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address n / `License <br /> # <br /> MECHANICAL COMPANY �I4 'L v��`-�/ 7 <br /> SIGNATURE REGISTERED Y N FEE CURREK I Y/N1 <br /> Address �� C f rG L4([a' wilt-S License# C / �/ 7/� <br /> 79P- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address License# <br /> I I I I I III I I I I III I I I I I I I I I I I I I I I I I I I I I I t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stor mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 /> Y: <br /> Directions: <br /> Fill out 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 Attomey(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 />