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813-78MO20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received Phone Contact for Permitting <br /> Owner Ph or �Ms <br /> Owner's Name C PIP by �,Jls one Number <br /> Owner's Address 07 'i rhi kk:1 Owner Phone Number <br /> Fee Simple Titleholder Hama Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ( LOT <br /> SUBDIVISION t PARCEL 100 ak- WID - k(ap W-- <br /> (OSTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR R ADDIALT SIGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORKC,-(- <br /> BUILDING SIZE I I SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I .- L�/- I <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY M W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL -.1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F7 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> . . . . . . . . . . . . . . . . . <br /> a Ul <br /> AoMPANY St REGISTERED I Y/ N FEE CUERREbe/N <br /> OC) <br /> Address License# <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh <br /> Address License# <br /> PLUMBER COMPANY i <br /> SIGNATURE REGISTERED I,,.YIN I FEE CUPRU Y 1 N <br /> Address —1 Llcense# <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURRa LY!N <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE F REGISTERED I Y/N FEE CURREI% L_yj N J <br /> Address License# <br /> RESIDEMM Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forums;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 subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page,(1)set of Energy Forms.R-O-W Permit for now Construction. <br /> Minimum ten(10)wwWng days after submittal date. Required onsitio,Construction Plans,Stominvater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meat compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . <br /> DlrocBonx <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> NoverS2500,a Notice of Commencement Is required. (AIC 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 (Front of Application Only) <br /> Reroofel'shingles sewers Service Upgrades AIC Fences(PIWSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />