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813-780-0020 City of Zephyrhills Permit Application Fatt-613ae0.0021 <br /> Building Department <br /> r ...,,uQ <br /> 9 - .... <br /> Data Received I �)> I -I <br /> Phone Confect for PermlHing <br /> T�F-'1-t- } p t i-rrt T .-rr -1-1-fiI-f a I a M R T111 1 1 1 1 - <br /> Owner's Name W 1 � Owner Phone Number /� —L/Li <br /> Owner's Address 6/ Owner Phone Number /-S— C /o 7 7 I <br /> Fee Simple Titleholder Name Owner Phone Number 3 <br /> Fee Simple'ndeholder Address l <br /> JOB ADDRESS 17 4r 1—U LOT# <br /> SUBDMSION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT =,] SIGN C] [--I DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL 0 <br /> DESCRIPTION OF WORK Gfa a ' Cn 17L i It C, 1A11 <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> • =ELECTRICAL $ ©G a"r AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING r$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE I REGISTERED I Y/ N I FEE CU((R``REN�� Y/N J <br /> �I <br /> Address _ License#( /6 1 <br /> ELECTRICIAN COMPANY L _i (F"-JJAP LLe <br /> SIGNATURE REGISTERED N FEE CURRER Y/N Y <br /> Address 1 Z?/d C c- License# j 2 04 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh L.XLN <br /> Address I License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREI, Y I N <br /> Address License# I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREP <br /> Address License# <br /> Illlllllllllllllllllllllllllttllitlllllllllllllltllllllllllltllltll <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 subdivisionsAarge 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,Stomtwater 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 /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It 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 Non public roadways..needs ROW <br />