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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 Permitting 727 573 _ 7757 <br /> Owner's Name City of Zephyrhills Owner Phone Number <br /> Owner's Address 533�8th St Zephyrhills Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address I N/A <br /> JOB ADDRESS 6585 Simons Rd LOT# <br /> SUBDIVISION PARCELID# 04-26-21-0000-39900-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN =X = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR =X COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0 I aluminum <br /> Install ou e-ace ,illuminatecl monument sign On Simons ennls Center'). 00 u <br /> DESCRIPTION OF WORK Ito ex6sting power, <br /> BUILDING SIZE I SQ FOOTAGE 58.63 HEIGHT 7-� <br /> =BUILDING $ 20,357600 VALUATION OF TOTAL CONSTRUCTION <br /> X=ELECTRICAL $ 500.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � v� , 7 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR E FLOOR VAT] FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY O/Y1 N ►J ( —� <br /> SIGNATURE REGISTERED I Y/ N 1 FEEC RREN /N <br /> Address 1V 67 License# I ES000008�3I <br /> ELECTRICIAN COMPANY OM <br /> SIGNATURE REGISTERED I Y/ N f FEE 4URREI, III Y/N <br /> Address ' 'p� G' ll7 License# I ES0000083 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI, Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stonnwater 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,Stonnwater Plans w/Sill 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 />