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813-780-W20 City.of Zephyrhills Permit:Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> p— <br /> Owner's Name; o r'I S n Owner Phone Number O13 <br /> Owner's Address 5 2 Qn-Vih Y` Owner Phone Number E:: <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION l lJa J PARCEL ID# ■ Z&'2 1' I ZO' D■ Q l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8ADDIALT <br /> = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK r -I �l G <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING r_— <br /> ®MECHANICAL $ Q 15OU VALUATION OF MECHANICAL INSTALLATION <br /> Q 4r <br /> =GAS ® ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh L=XLN <br /> Address License# <br /> MECHANICAL COMPANY &M fi•C , <br /> SIGNATURE / REGISTERED Y/ N FEE CURREA <br /> Address 3�-� � -8l V License# CI�CO24344 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> l -1 .1 ,9.l1.9 .l..IJ .D .I .I->1 -d_� J l-B .I-I-J{ .�.1-1.1-)111 .5 D -1 .�.D .IJ .l -1 -D -9 D.IJ JJ -D_I .1lJJ .B .I.D ,IB-D .L.l .1 1 .9 � .A 9 1 B 1 1 <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 subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plaits plw 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.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *'PROPERTY SURVEY required for all NEW construction. <br /> ■ ■ ■ . ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ e ■ ■ ■ ■ ■ ■ . ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ e e ■ ■ ■ ■ ■ ■ ■ ■ ■ <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 />