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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> (` Phone Contact'for Permitting- — <br /> Owner's Name 1333333333333XX[3xv 'C Owner Phone Number <br /> Owner's Address D ��I b L Own r Phone Number <br /> Fee Simpie;Titleholder Name Own r Phone Number <br /> F <br /> Fee Simplot,Titleholder Address <br /> 1 �p o <br /> JOB ADDRESS si d i1 w000T �•-• LOT#. <br /> SUBDIVISION <br /> Dr.fkwac,a. 111 PARCELID# <br /> ( BTAINED FROM PROPERTY TAX NOTICE) <br /> 1 <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0SIGN = Q DEMOLISH <br /> E e _ '_INSTALL 8 REPAIR <br /> PROP.,OSED"USE = SFR = COMM OTHER . <br /> TYPE`OF CONSTRUCTION = BLOCK Q FRAME _, STEEL ._ <br /> DESCRIPTfON OF WORK e <br /> d <br /> BUILDING SIZE SQ FOOTAGE _ EIGHT. <br /> ;.,. <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCT ION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> _ 9 ' <br /> i . <br /> =P,LUMBING $ <br /> } <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING ] SPECIALTY, Q OTHER <br /> 3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> k <br /> ` r ' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y'/ Nj FEE CURRE, Y/N <br /> Address -License# <br /> CTRI,CIAN COMPANY <br /> SIGNATURE REGISTERED E7 Y/ N FEE CURRE� Y/N. <br /> Address' " License# <br /> PLUMBER;;;,." COMPANY"" <br /> SIGNATURE. REGISTERED Y/'N-'` FEE CUR90, <br /> Address . License# <br /> MECHANICAL COMPANY <br /> .'SIGNATURE" REGISTERED. Y/ N -• i FEE.CURREN. <br /> Address'' License.#. <br /> >.OTHER�- ,;" :a >: Scott Blackman Roofing, I .c. COMPANY <br /> "°SIGNATURE:;:" - <` REGISTERED Y/"N FEE CURREN L Y/N <br /> Aaarass •San.Antono, FL License# <br /> RESIDENTIAL; :''Attach'::2"sPlot;P.li�ns'2 sets of`Buildina-Plans; 1)°set`of Ener "Forms; O=W.Perrriitlor new:construction,.? <br /> • ,.:o' .,.. :.::Minimum. ( ) 9" Y q'' <br /> e y "N,„ ten;.;1.0."woikin'";da"s aftersubmittalcJafe: Re uired`onsite;Co struction'Plans;Stottlwater Plari"s w/Silt Fence"installed,. <br /> .:,.; Sanitary,IFaailUes7&1 dumpster;,Site<Work Permit forSubdiVislons/large`'p' jects _ <br /> r:,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 fo all-new projects.All commercial requirements must meet compliance" <br /> IGN:P.ERMIT Attach'(2)sets:of,Engineered Plans:-i..•.'. . <br /> K: ..AR ctiom PROPERTY SURVEY[epuired_foeaILNEW constru , <br /> fill'out;application completely. <br /> Owrier`8'Contractor sign back of application,notarized <br /> If.over'$2500.a Notice of•Commencement is required. (AIC upgrades over$7500) <br /> *" Agent(for'tiYdtontractor)'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(PIoUSurvey/Foo ge) <br /> Driveways-Not over Counter if on public roadways 6eiieds ROW <br />