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813-78MO20 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Data Race'vAdj1 <br /> Phone Contact far Pertnittln - <br /> T7-fT4Ry� <br /> Owners Name /� T Owner Phone Number <br /> Owners Address 359 u Q ( PALM w rC Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Lr P A/ y R-CL LOT# <br /> SUBDIVISION N PARCEL ID# <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 = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK S L -M F P, 906F-HnV_NTU6 Pkoavomrc S0(fl pJiAjk�L <br /> BUILDING SIZE SO FOOTAGE HEIGHT NS T-Eti, <br /> 6ZIBUILDING $ Z Z Q VALUATION OF TOTAL CONSTRUCTION 2 S,to(4 1 -6 0 <br /> E121ELECTRICAL oo AMP SERVICE = PROGRESS ENERGY = W.R E.C. <br /> =PLUMBING is 'k Z,i f r I �O C)W- <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION A� S <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> damPANY V EV <br /> BUILDER <br /> SIGNATU REGISTERED Y/ N I FEE CURREN/ Y/N <br /> Address >/�, License# (� <br /> ELECTRICIAN I f COMPANY V 7 Dgv <br /> SIGNATURE /1 REGISTERED Y/ N FEE CURREN Y/N !� <br /> Address J Iz 11 V L License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZ/N <br /> Address License# <br /> IIIIIIIIIIIIIItlllllllllllllllllllllltlllllllllllllllllllllllllllll <br /> 'D 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 subdivisionsilarge 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,Stormwater Plaits 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 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 />