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j�813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 <br /> " Building Department <br /> Date Received Phone•Contactfor Permitting <br /> Owner's Name ar' +Iomens Owner Phone Number <br /> Owner's Address LE 1CgR[css Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address c ` ,I <br /> JOB ADDRESS Jl l era- 1 G LOT <br /> SUBDIVISION 31 Wundo PARCEL ID# N- - 0 I - 0010`CI0100—DOU <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE = SFR Q Comm ® OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK GG FRAME ® STEEL = <br /> DESCRIPTION OF WORK 1 Y V 1 ' I n I V1 5+6 l <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION`OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING <br /> r®" MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING .® SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN' ' Y/N <br /> Address �,License# <br /> PLUMBER COMPANY G1/ cn <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN WY/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREN <br /> Address License# I <br /> OTHER .COIWPANY <br /> SIGNATURE REGISTERED Y/ N,.. FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL: Attach(2).PIof.Plans;(2)sets.of'®uilding.P.lans;(1)"set of Energy�Fortns;R=O=W'P®milt for new Construction, <br /> Minimum.ten--(1,U)working;days afte[submittal'date.:Required onsite,Constriction Plans;Storrnwater'Plans w/Silt Fence installed, <br /> Sanitary Facilities&_I dumpster;.Site Work-Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)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$2300,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 /> DYER THE COUNTER PERMITTING ..(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Surrey/Footage) <br /> Driveways-Not over Counter if:on public roadways..needs ROW <br />