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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 Pertn1(,913 -7$Z _ 3513 <br /> 1 1 1 1 1 1 1 1 1 1 1 1 <br /> ..11 <br /> Owners Name " B ? t CO I`' e a Owner Phone Number 9 1 <br /> Owners Address 37& Me.0 Uor•t zoo Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3`762-7 Neal W"izon '31vJ Z ils F1- 335 LOT# <br /> SUBDIVISION ;Z PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION LO ]/FRAME = STEEL = <br /> DESCRIPTION OF WORK E 611G}I(S EX�Sfj �i lbflQ CwS}/I /(}0 io q V� <br /> BUILDING SIZE 18'&" x)-2 1 SQ FOOTAGE I 22 Z HEIGHT /0 <br /> BUILDING $ 0- VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> o <br /> =PLUMBING $ IV IV <br /> ff <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /JO&/ LC � <br /> a DTP <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> C- r / <br /> BUILDER COMPtAdNY6:5 AlUMI�it�t <br /> SIGNATURE /� REGISTERED / N FEE CURREN /N,/ <br /> Address 8 . $h <br /> 7 ' a Z-1m, -j11 jj Uceense T^# Il(-OJ�'�7 <br /> ELECTRICIAN // SCOMPANY P.TWe M R c ,;r_ <br /> SIGNATURE REGISTERED 1,0W1 N FEE CURREN /N <br /> Address R'y 5?;j License# Q <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIItllllllllltlllllllllllltlllllltllllllllllllllllll <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 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 />