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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �y Building Department <br /> Date Received Phone Contact for Permitting — <br /> Y g� ct <br /> Owner's Name �U N 11 //11� ��1 Owner Phone Number c�13 ( a r7 <br /> Owner's Address ?� C)P\L L.17.CSk W Owner Phone Number V - l G- ' �o <br /> Fee Simple Titleholder Name I OW of C111— Owner Phone Number <br /> Fee Simple Titleholder Addresscts VS-� / <br /> JOB ADDRESS 1 T w LOT# <br /> SUBDIVISION ©HrC. PARCEL ID# 2'Z& `-C)ZSO O0-01 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED E <br /> NEW CONSTR e ADD/ALT � SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER C <br /> TYPE OF CONSTRUCTION = BLOCK QQ FRAME = STEEL = <br /> DESCRIPTION OF WORK sC ` ,CwN rJ <br /> BUILDING SIZE Z SQ FOOTAGE 4 G... HEIGHT <br /> BUILDING n, tz . <br /> � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ,. ` AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING Is it) t / <br /> =MECHANICAL $ y�) VALUATION OF MECHANICAL INSTALLATION <br /> /V <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BU <br /> ILDER <br /> �— COMPANY <br /> SD FEE CUR N� <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;k-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 for subdivisions/large projects <br /> COMMERCIAL Attach(3)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 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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades•_.A/C.f, Fences(Plot/Survey/Footage) <br /> Driveways-Not over Ctftihfer.'f6Yi..pubiis'roadWays.needs OW ;ry,,,; <br /> _ :52: _i1:i a' '5'v� `i�� t= �f ,:)".Y.i a='• '.r <br />