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813-7e0-0020 City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> r lll'1111 rl rll <br /> Owner's Name n Owner Phone Number <br /> Owners Address 1� { Owner Phone Number <br /> IC <br /> Fee Simple TitleholdVetrArn A Owner Phone Number <br /> Fee Simple Titleholder Address l y <br /> JOB ADDRESS U c S .�»J 1� LOT#� 1 `I <br /> SUBDIVISION �-` �J PARC%EL ID# "2-t �.% �-_ I M^QF v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR r <br /> PROPOSED USE SFR Q COMM ® OTHER F <br /> Ott <br /> _ <br /> TYPE OF CONSTRUCTION �(= BLOCK Q FRAME = STEEL <br /> DESCRIPTION <br /> Y/OF WORK / �C (y j(� //�• � ` `�'���� <br /> BUILDING SIZE 1 l!� SQ FOOTAGE� M C� <br /> EIGHT <br /> 7 1 1 1 1 1 1 1 1 1 ITPT'7Tr <br /> BUILDING $ I.D VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. ve/ <br /> =PLUMBING $ ` Q <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V`J <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY n <br /> SIGNATURE REGISTERED N FEEZORREN I Y/�I 1 <br /> Address License# \ 1 <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 CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ' IIIIIIIIIIIIIIIIIIIIIIIIIIIIillllli.11111111111111111111111111111111 <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 onsile,Construction Plans,Stornwater 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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dale. 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 /> 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 PERMMING (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 />