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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> A Building Department <br /> Date Received <br /> amcr= Phone Contact for PermitfinR <br /> Owner's Name v 1. Owner Phone Number <br /> Owner's Address pr Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a LOT 0 <br /> SUBDIVISION v una I PARCEL ID010 W- 011I- 0U0-()(-)qD)- <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR. ADDIALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE 0 SFR COMM, OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK h ()n <br /> BUILDING SIZE 30FOOTAGE=, HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ]$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBING .$ 1 15M- <br /> =MECHANICAL .1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ®YES NO <br /> Hill...............1. ........... <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED N FEE cumin <br /> Address License# <br /> ELECTRICiAX COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFN <br /> Address I License# = <br /> PLUMBER 6A— COMPANY bf-v)dey-<Spn WiqCt+1'1-n <br /> SIGNATURE REGISTERED I Y/.N FEE CURREN I Y N--' <br /> Address lyrn License#fl P)e'-ft-chem M I "DO <br /> NECNANICAL COMPANY <br /> SIGNATURE F REGISTERED Y�/ W FEE CURREN <br /> Address License# F <br /> OTHER ,COMPANY I - -- - -- <br /> SIGNATURE REGISTERED I Y/ N-1 WE CURREt, <br /> Address License#F <br /> ............ <br /> RESIDENTIAL Attach(2)Plot.Plans-,(2)sets of Building.Plans;(1)s.dt of Energyftrms;R-O-W Permit for now construction, <br /> Minimum ten-(10)workln%days aftersubtfilital dai:6.-Required onsit6.Construction Plans,Stormwater Plans w/Sitt-Fence Installed, <br /> -Sanitary Facilities&I Aumpstep$lte Work-Permit for subdivisiphs/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/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for alI NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if ovar$2500,a Notice of Commencement to required. (AIC 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 ..(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(P]oVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needi ROW <br />