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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 Pennitting <br /> rrI I I I 1 9 1 1 1 <br /> Owner shame / �Q -F C(S—on Owner Phone Numbe <br /> l9 <br /> Owners Address a p o t n K r b Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IG�O"1 �att C0VLr{ h• �L ( 35`l2 LOT# �/ <br /> SUBDIVISION PARCEL ID# V`' �`v—��—0 2t0" -�C <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTIONQ BLOCK 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK Rt ix6 m W)/t d t!w$ OA 4 d o 0/ 5 r Z{ T-r <br /> Gr <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> F-XIbUILDING $ �] d O-�0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ `l AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ / (/n C)b� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /V V I' <br /> J <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> BUILDER �D COMPANY r tin — -�- 1 Q r <br /> SIGNATURE t REGISTERED I Y FEE CURRE11 YIN <br /> Address S G 1 t s N Pufl dF AW License# I Cb G 05- d <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> _I 1 1_I 1 l_I 1 1.1 IJ_1 1 1_I 1 1_1.1.1 1 LI 1 1_I 1 1 1 1 1_I 1_I.1 1 LI.1 1 1.1 1 1 1.1 1 1 1.1 1_I 1 1 1 1 LI 1 1.1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 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 /> Drrecttons: <br /> Fill out application completely. <br /> Owner&Contractor sign bark 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 />