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813ae0-0020 City of Zephyrhills Permit Application Fax-e13-780-0021 <br /> i Building Department / A <br /> Date Received v ` Phone Contact for Permitting f TJ �7— Ci <br /> Owners Name Owner Phone Number <br /> s3 ao4h s4 , i no Number <br /> Owners Address L'- � r.,� Owner o <br /> Fee Simple Titleholder Name5ciA Owner Pone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS OtQ t r fjS I , LOT# <br /> SUBDIVISION el PARCELID#Vl �V Q/ `© oo-00 <br /> WORK PROPOSED I etI NEW CONSTR e ADD/ALT Q SIGN NED FROM PROPERTY T�TrcE)DEMOLISH <br /> IU��J INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q7 / <br /> BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK AT 004(I ` �q ® ( P j ,e Il <br /> BUILDING SIZE O X 10 SQ FOOTAGE HEIGHT ( X <br /> MBUILDING $Cl C l�Q VALUATION OF TOTAL CONSTRICTION (` <br /> =ELECTRICAL $ 5p •J✓ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. IV <br /> SeT? ow <br /> =PLUMBING $ I -�/V 1 �j I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> BUILDER "REGISTERED <br /> ' <br /> SIGNATURE L� REGISTERED Y/IN I FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/IN FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/iN FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENL Y/N <br /> Address License# <br /> 111111.1111111111111111111111111111111111111111111111111111111111111 <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,Stornwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,.Site Work Pennit 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,Consfruc�ion Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All com ercial 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$2600,a Notice of Commencement is required. (A/C upgrades over$7600) <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 />