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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> -Y Building Department <br /> Lto Received 1.Phone Contact for PsrmltUng <br /> I I I I I <br /> Owner's Name Wknq . . . .Owner'Phone Number <br /> Owner's Address Fs"f 3� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL to# 0140-000W Or(81) <br /> (OEMMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK E::] FRAME STEEL <br /> DESCRIPTION OF WORK SViN r�cje- Qe-r0cQ L 11:J Qq-I <br /> BUILDING Size SO FOOTAGE HEIGHT <br /> . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> TBUILDING (e4 I'M VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ V*Z <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1-04 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY FULd 71:-h4p'r ' ;np 11 <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREK I Y/N <br /> --T Address Vill 1 I G(vd Z K r-L ZW J I Ucense# I ca -05B <br /> CTq I <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURM L=N <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK LY/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Budding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wonting days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge 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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Bill 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 /> 4'6 Direchbo.6wo o <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (AIC: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 /> Retools If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />