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\813, City of Zephyrhills Permit Application Fax-81?� <br /> e6_ <br /> a Building Department <br /> NICQ �0 <br /> red Phone Contact for Permitting 13 C q 3 - 09 0 <br /> ner°s Name .�0.\, e n CO . M7 Owner Phone Number <br /> Owner's Address I �� l� ��h�� Z�- Owner Phone Number I <br /> Fee Simple itleholder Nam ��� Owner Phone Number <br /> Fee Simple;Titleholder//Address (� <br /> JOB ADDRESS lD (sav i>`V LOT# <br /> SUBDIVISION �'rt�� �C6 e-S PARCEL ID# D3'Z(V-Ik -002-0 -C OOO 6)— C'30,30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR /ALT = SIGN 0 = DEMOLISH <br /> INSTALL -REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q—� BBLLO,CK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE &50 -a HEIGHT <br /> P?nBIJILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ ` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION p, <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ; �6 COMPANY 56 ( �n <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y7 N <br /> Address License# b Z <br /> ELECTRICIAN Q i c ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBERC r , COMPANY <br /> SIGNATURE )� REGISTERED Y/ N FEE CURREN <br /> s <br /> License# <br /> MECHANICAL Q p �Ph COMPANY <br /> SIGNATURE a`"' �S✓" — REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address I - License# <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,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 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 />