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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Co�fo Permitting <br /> 1 - 2 <br /> Owner's Name d���t✓ C W4V Owner Phone Number l M. 5 <br /> ' /* !� Q�� <br /> Owners Address �(g L-) (yv� wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address !�J I r <br /> JOB ADDRESS L &�11 V C k {^/[4[� ` L LOT# <br /> SUBDIVISION PARCEL ID# :?` — (-4610-6 b 7M-6 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL Rill" REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK fV `4C L <br /> /�� 2 <br /> Il <br /> BUILDING SIZE ©/' <br /> �V/ SQ FOOTAGE ! 6 ® HEIGHT I <br /> =BUILDING $ j thflAL,j VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 37t) AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> b <br /> =PLUMBING Is �✓bO \ ODIC; <br /> i <br /> =MECHANICAL $ �/j r VALUATION OF MECHANICAL INSTALLATION �eV3 <br /> GAS = ROOFING Q SPECIALTY = OTHERFINISHED FLOOR ELEVATIONS F Do ZONE AREAr/� =YES NO <br /> BUILDER OMPANY W t->2 K � (3 l9Lt <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address S'6# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I Y/ N I L FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER / )® 0000MPANY S ul 5 <br /> SIGNATURE 7 REGISTERED Y/ N FEE CURREN I Y/1N <br /> Address it <br /> [��y�s License# Gl L7�{J � <br /> CNATURE L - REQG TPERED �Y/�N FEE CURREN Y/Nss' -- - License# --- <br /> COA <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> Illlllllllltlllllllllllilllllllllllllllllllllllllllllllllllllllllll <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 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 date. Required onsite,Construction Plans,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> .�...rF-F�:.....r...rl-a-&.. <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 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 shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />