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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ((.�+ ^� <br /> Data Received Phone Contact for Permitting 7S (� L�^-�15 —2T 1Q7 <br /> Owner's Name /� �,,,,. Owner Phone Number <br /> Owners Address Z� "t Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address 2 �] <br /> JOB ADDRESS 3I3 2.3 3> �f � /•� n LOT# ��y� <br /> SUBDIVISION f S= PARCEL ID# (d - V J v 0 Wes+•O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED El INSTALL <br /> CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = Q <br /> BLOCKK/� 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 44YAC ERU ICI ` ao /MMr' <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> DINGSUILG $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ /_A� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Ly/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREn L Y/N <br /> Address F I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address //� License# <br /> MECHANICAL COMPANY lA li(JI ill <br /> SIGNATURE - REGISTERED I Y/ N FEE CURRE Y/N p <br /> Address �`7 �• r womp I ft•"WWAMA137 License# CAC131 Q <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn <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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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 /> A. <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 />