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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a I aoav 13 C1Di _ 5�1s- <br /> Phone Contact for Permitting <br /> p� rr <br /> Owner's Name U 1 V cs Owner Phone Number <br /> Owner's Address HUM UDa Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS V +-Y .I Dr, LOT# <br /> SUBDIVISION I ly1 I PARCEL ID# ��"I' �11L P a ) — D11 Q l0" '2)L1D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 1`1 1 ' V( ` �) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $1 • <br /> =MECHANICAL $ (�J VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE 'REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address ft+V , License# LIAI <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1..1.1 1.1.1 1.1.1 1. 1 1 1_1 1.1.1.1.1_II 1_:1. 1.1_1 1 1__!J_1_/__1.1_I_.1_1 1_.1 !_I_I 1_1. 1.1 1__/_ 1 1.1 1 1 1 1 ! 1. 1 1.1 1 1 111 <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,Stormwater 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,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 /> it" <br /> . . . . . . . . . . <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 />