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1 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> / Date Received v► p <br /> � J J Phone Contact for Permitting �� � _�✓!/ Owners Name ` Owner Phone Number ~4 _lG <br /> - 6 v <br /> / Owners Address G Owner Phone Number <br /> % Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -Zid ( LOT# <br /> / - aG7a- G�YGio-caCG <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK [k v A-11-- nN " 1 N <br /> 7 BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> JJ' �LG� J Tr'y" <br /> ®BUILDING $ , at Z VALUATION OF TOTAL CONSTRUCTION <br /> �oty0 37 =ELECTRICAL $ `�++r((OOOp` AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ✓✓ =PLUMBING $ ^C � <br /> =MECHANICAL $` C^ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> -. ...-.-... .-. . ..r: . . . . . .. r.: . . . .-.-t--i . . . . i-:-:-F-i-:.-.I,. . ..-. . . <br /> BUILDER ��� COMPANY <br /> SIGNATURE r�^ REGISTERED 'Y/ N FEE CURREN Y/N <br /> Address �� � ` ��� 1`D SRF v License# <br /> ELECTRICIAN t O COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N P <br /> Address License# I Fe- 6004Z3�i P <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllltllll <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,Slormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 dale. 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 /> . . .-. . . . .-.� <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 />