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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ,I pQp <br /> Date Received ,^ phone Contact for Permitting Q 3 LI G ­ ?,_L LCCG <br /> Owner's Name <br /> f-6. ar AJ,7 .11.> Owner Phone Number �/' / ✓, `� <br /> Owner's Address ��J Ov /� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address //nn <br /> JOB ADDRESS y LO/T�#'�/ ) <br /> SUBDIVISION 042 -Qf PARCEL ID# �`11 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION y�- rrB�AL,O/�C�,^K, Q FRAME O-r STEEL 0 <br /> DESCRIPTION OF WORK / VC X �+ 5-e <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ y/_ �� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (ICR AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ f [ 1 �J /Tl�lw•�� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> SPEC OTHER O� <br /> =GAS ROOFING Q SPECIALTY = <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER / COMPANY Or <br /> SIGNATURE REGISTERED Y N J FEE CURREN I Y//N� <br /> Address Gt �C 33GKfse# 6,06/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I icense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111 <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 subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0: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 comptiaance' <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW construction. <br /> .I. <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(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <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 />