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813-780.0020 City of Zephyrhills Permit Application Fa*813-78M021 <br /> Building Department <br /> Date Received f1 Phone Contact for Permitting <br /> Owner's Name `t--- Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Foe Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# COO <br /> SUBDIVISION d PARCEL to# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM Lr�J OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME `J STEEL = <br /> DESCRIPTION OF WORK 4—,--V� —Nc,\ <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BuaowG $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> �PLUMBWG S :%�tNN I ')l <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `�✓ <br /> =GAS = ROOFING 0 SPECIALTY 1___.J OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREA LILN <br /> Address 777777 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREA YIN <br /> Address License# <br /> PLUMBER COMPANY E Mein>" �=' �tr` <br /> SIGNATURE REGISTERED FEECURRET Y/ <br /> Address Licence# , aQ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTMIED I YIN FEE CURREN Y/'N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREp LUN <br /> Address License# �— <br /> Illllllllllllllllllllllltllllllllllllllltlillllltlll illlllllllllltl <br /> RESIDENTIAL Attach(2)Plot Plans;.(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for newconstruetion, <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 subdivisionsnarge 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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stommwater 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 forali NEW construction. <br /> Directions- <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ovor$2600,a Notice of Commencomant Is required. (AIC upgrades ovor$7600) <br /> Agent(for the contractor)or Power of Attorney(for the a'vner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofsifshingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter If on public.roadways..needs ROW <br />