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813-78MO20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received p� p. <br /> Phone Contact for:Pennitting (�• O"�'J - .: p Q <br /> Owner's Name Owner Phone Number <br /> Owner's Address , OWE= Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> '(ORTAINERF.ROM PROPERTY TAX NOTICE) - - <br /> WORK PROPOSED NEW CONSTR ADD/ALT 1 __! SIGN = 0, DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q. FRAME = STEEL .[]. <br /> DESCRIPTION OF WORK I-exa71e_14AOGP_ <br /> BUILDING SIZE SQ FOOTAGE 1 1 HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C, <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -1-1-164-6-4-11 1 m.1 ; 1 1 1 1 - F-t-- -.- - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y7-N - FEECURREA LI.LN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/,N FEE CURREA <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREA I Y/.N <br /> Address License# <br /> MECHANICAL IMPtet- <br /> COMPANY ��} <br /> SIGNATURE ^ REGISTERED ICUN FEE CURREN I Y I N <br /> Address L C Nrl C L License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA <br /> Address License# <br /> 111111._III11111IIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllltl11111111111111111 <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 subdlvislons/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 onslle,Construction Plans,Stormwater Plans w/Sill 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$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 />