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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> po <br /> Date Received Phone Contact for PermittingP 13 3.13 <br /> ?#,? <br /> } CrG a 1,/ <br /> Owner's Name F01971fari t. Diepe't O/' Eo4C.tnf Owner Phone Number g#9- 7'$T'3'!pG <br /> Owner's Address 4/T ,t W 1101t fV 19Ol ZA tt �?�t S Owner Phone Number 8 13- 340 <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 364 1 ZE tt tti/tLS1 Ft- 33S'l3 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN 0 [ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM 0l OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME STEEL Q <br /> DESCRIPTION OF WORK �tjTIE Q,Io it SE LIEC11d E DEP►o <br /> BUILDING SIZE I SO FOOTAGE r<G 3 �• HEIGHT <br /> BUILDING $ �t'd0� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is 7 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING �1$ —1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I ST I N+E rh Jsl IL%)G11 O a r 1'J t - <br /> SIGNATURE YiGr r ' REGISTERED �I Y/ N I FEE CURREA Y/N <br /> Address TV C'R£l.IL Q9. 33541, License# CSC <br /> ELECTRICIAN COMPANY = I <br /> SIGNATURE REGISTERED I YIN FEECURRED YIN <br /> Address r License# <br /> PLUMBER I COMPANY <br /> SIGNATURE ( REGISTERED I Y/N FEE CURRED Y/N <br /> Address License# <br /> MECHANICAL COMPANY _ <br /> SIGNATURE REGISTERED I Y/ N I FEE CURBED Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y( N FEECURREEN IN_' <br /> Address License# I <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,Stgrmwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge 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/Sift 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 authoriizing 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 />