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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Q T-� <br /> Date Received phone Contact for Permitting O1 I 0 <br /> 1 1 1 1 1 1 1 1 Lu�/'► 1 1 1 1 1 ((�� /f rj <br /> Owner's Name Tll..�F L I Owner Phone Number Ib / 3 <br /> Owner's Address Owner Phone Number <br /> SO 1re1 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ^,� QLYY10. ^# ^ Z jar /� 1�L/O�T# (�n� <br /> SUBDIVISION + L PARCEL ID# A q'Ot0_o[1-W aJ_V000_OD�-0 <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSfR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL 1 REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK -I BLA I I N e W AACD W 4■} eleQ+r1 C- V 1 L <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $3 ^bG CU VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 01T J�1 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 4- c <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> A ( ) <br /> BUILDER COMPANY Nc_ <br /> SIGN ` REGISTERED ICYP N I FEE CUR(R�EIA Y//N <br /> ress 3 +e FI 334a License# .G J1. I Q' <br /> ELECTRICIAN ( COMPANY I <br /> SIGNATURE C REGISTERED Y N FEE CURREI I Y/N <br /> Address I e C. L I License# IU-13001,393 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI. I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK LILN <br /> Address 1 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI I Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 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. (AIC 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />