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813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received GD i 234 Phone Contact for Permlttingg — 0 <br /> I I I I 1 1 1 1 1 1.1 i t <br /> X12Owner's Name hh V Owner Phone Number �A h <br /> Owner's Address U 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS W94 1/ l c J LOT# <br /> SUBDIVISION ' Vt1 PARCEL ID# 1/3 I—V 1 ID'G) C)C)— q3 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL ML REPAIR <br /> PROPOSED USE Z SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK S S 4 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ —1 �? V C{ / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Aff (' <br /> =GAS = ROOFING Q SPECIALTY = OTHER / J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO .9 l�5 <br /> BUILDER /1 � COMPANY ! IUry1c,TG (Y arLC.Q- <br /> SIGNATURE �yll REGISTERED Y/ N' FEE CURREN YY//�N� WRY <br /> Address 1 0 IDIM Alt %ACD) 7�rI License# .71J <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 L11 N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIt111111111111111i1111111111111111111111 <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 dale. Required onsite,Construction Plans,Storrmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstei;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,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 />