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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received f�l p <br /> � /' q�� /� Phone Contact for Pefmitting ,�n t <br /> Owner's Name �b Cam!F��(/A lOwner Phone Number J�z -1�& J11p <br /> Owner's Address 77 0 L4 1 s I Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0 v Lt tk 3 T LOT# <br /> SUBDIVISION KOO 1'�1��."r PARCEL ID# -Z -ZI -DIA00 015o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLJ7OCK Qc FRAME = STEEL Doc <br /> DESCRIPTION OF WORK ^ I J i (Z I: 1:50 F-- J 1 7— <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ®BUILDING $ 8 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ?/� ` /, <br /> =GAS = ROOFING Q SPECIALTY = OTHER V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> v <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMP Y <br /> SIGNATURE REGI EE D Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY =anrice - Power Home Remodeling <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 4135 Crescent Park Dr Riverview 33578 License# FCRC1331654 <br /> I I I I I I I I I I I I I I I I I I I I I I t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i l l l l l l l l l l t 1 1 1 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. WC upgrades over$7500) <br /> *` Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing, e <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 />