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813-78M020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department (� 2 Q/ _ 1 <br /> Date Received Q-ZS-`q Phone Contact for Permittiin 15 J I\P 3 -ego-,) <br /> Owner's Name e- Owner Phone Number <br /> Owner's Address I Z(Q(p?_ S, C Owner Phone Number <br /> Fee Simple Titleholder Name n q Owner Phone Number <br /> Fee Simple Titleholder Address. ` C\\ <br /> JOB ADDRESS t �(rC�G� LOT# <br /> SUBDIVISION L1CR� ® t^�SCV PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK\ = FRAME = STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ILDING $ 2-� 2�0�^ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PRORSS ENERGY W.R.E.C. <br /> =PLUMBING $ X� T�/J ti =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER 2 � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ��- COMPANY SbCld�tlb'�VaC�af� <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN \0. COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREh Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> OTHER \cam COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111 <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 eubdivisionsflarge 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 />