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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /� Phone Contact for Permitting �f <br /> Owners Name �.� Ch e r LL <br /> i Y1 i Owner Phone Number 81 -35 5 <br /> Owners Address 31 bOb [),IIA 'I�Ter Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '7 ��r>,,h pp DaAi hA.,TerrQet, ^^''-- ^J LOT# at <br /> SUBDIVISION I f C.� -4, a-r PARCEL ID# ()3 -d-6-04- 0Oa 30 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0� SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION ®� BLOCK = FRAME n e= STEEL = <br /> DESCRIPTION OF WORK t*V � CA`''I e 0v--0t" <br /> BUILDING SIZE SQ FOOTAGE 15 b HEIGHT <br /> =BUILDING $�51_3 pO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ IP AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> E?IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address L _ �_ License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License#,rMECHANIC�Zj COMPANY 159� Vie U.M(O <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address i.I 1J ( License# W 5 O <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> Illtlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <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,Stonnwater 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 new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater 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$250D,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 ouhlic madways_needs ROW <br />