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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 /> Xi21�1[ai �IEEi <br /> Owner's Name use ' Id (J(i✓ Owner Phone Number F1 - 9� 3 <br /> Owner's Address 17-12 6161f e Z Owner Phone Number <br /> Fee Simple Titleholder Name Q Owner Phone Number <br /> Fee Simple Titleholder Address Fare US a,&ke <br /> JOB ADDRESS / r LOT# 3 <br /> SUBDIVISION G/4 `(j. PARCEL ID# 6010 -6 a/ M ^0/ 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED f7i NEW CONST ADD/ALT SIGN 0 DEMOLISH <br /> REPAIR <br /> PROPOSED USE SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAAME�+ STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 1 _7 / "y rC�/ SQ FOOTAGE J 7�0 HEIGHT <br /> BUILDING $ -3 60166 <br /> o VALUATION OF TOTAL CONSTRUCTION <br /> E�DELECTRICAL $ 666 AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ <br /> MIMECHANICAL $ Q G� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �� / FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ;el& <br /> SIGNATURE REGISTERED Y/N E CURREN Q/► Y/N <br /> Address License# <br /> ELECTRICIAN �_ COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License#j ` nn C <br /> PLUMBER �� COMPANY W 5 1 I Il 1� C <br /> SIGNATURE 1 1 REGISTERED N FEE CURREN N <br /> Address 'Noa (0a Sf Z 1.,fats, Ft- 33sw License# �-IC U S D 0 7 <br /> MECHANICAL COMPANY /lSid� �Ne 36 /` /V <br /> SIGNATURE. b` REGISTERED Y/N FEE CURREN ,Y,//N/ <br /> Address 7��" /�s(S �- j �`� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> 1 1_i.2 1.111.1 I 1i.1.1.1_i 1.1 1.1.1.1.1..1.E 1.1.1 1.1���.�1..1.1 i.i_i 1.1.1�..�.�#1 I1 1.1111.2-111.1.1 <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 /> 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 />