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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received O— v` Phone Contact for Permitting 8 — <br /> Owners Name i Owner Phone Number Z—^t(g�]—6pCpL7 <br /> Owner's Addross5i3,45 Owner Phone Number —� <br /> Foe Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> QQ <br /> JOB ADDRESS —3 V 5 6 W <br /> SUBDIVISION A <br /> I PARCEL 10#. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR, AOD/ALT SIGN = = DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME � STEEL Q r� <br /> DESCRIPTION OF WORK aCe 0012- JAI l7i S1 e- 632f—h L <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT 1 7:] <br /> E136ILDING $ Z� VALUATION OF TOTAL CONSTRUCTION <br /> �5Co8. <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ��� <br /> =MECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> _ <br /> BUILDER :000MPANY <br /> SIGNATURE REGISTERED / N FEE CURREN Y!N <br /> Address rat`., m : %191i'.3 0t'>(AN 3:L License# <br /> 32-V 7`6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE l REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREI� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address License# <br /> Ilttllllllll till 111111111i11iltitlllllllllt11 / 111111111. 1 'Illlltlllll <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 wl Silt Fence installed, <br /> Sanitary.Facilities&1 dumpster,.Site Work Permit for subdhisions/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 Faclities&-i dumpstar;'Site We!%-Permit for.ul!-new prcjacvl.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;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.(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> 1 <br />