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813-78MO20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received i j'7 r1 Phone Contact for Permitting <br /> Owners Name © I-W Owner Phone Number �I <br /> Owners Address d ( Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address �y <br /> JOB ADDRESS /+ 11 LOT# <br /> 7K SUBDIVISION t..)if y� PARCEL iD# Z V 'C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL Q <br /> DESCRIPTION OF WORK 4 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING ($� <br /> LFJ <br /> riftIMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY T <br /> SIGNATURE REGISTERED I Y/N FEE CURREA Y/N J <br /> Address License# <br /> IS J�� <br /> SIGNATURE <br /> ELECTRICIAN REGISTERED Y 1 N FEE CURREt Y t N J Address r License# C <br /> PLUMBER I COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE t(� r� _ REGISTERED Y/ N FEECURREn -Y_i N__ <br /> ,I <br /> Address t O g��T LA.$ a ,.N 41 4 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA <br /> Address License# F— <br /> ! l1111111l / 1111111111111111k11ililt ! ! t ! 1 [ [ kllIIIIIlit ! ! k ! ltltllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stomiwater 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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onstte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al 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 Attomey(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 />