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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department T>e m1—�- <br /> f ' <br /> Date Received Ph , f 7� -7 Y e G <br /> one Contact for Permitting O(�10 �i <br /> Owner's Name /G ,00-oe g aeo f Owner Phone Number 117JO/ "J/T3 <br /> Owner's Address Q.//•/C e L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpl e�Titleholder Address <br /> JOB ADDRESS 3 -791 5 //`�i 1/�/G ry LOT# <br /> SUBDIVISION PARCEL ID# S oLF/G����o� ®��® _8/4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STE <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> r-rrrrrrrI r-9�rrrr-r�w�rrr <br /> I?TB'UILDING $ M VALUATION OF TOTAL CONSTRUCTION X <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ 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 C <br /> Address J/%3 P/�OfY9��fi�� �Vp� License#'�c -/ /C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 LAI N <br /> Address License# <br /> tlllltlllttllllltllllllllllllllltllllllltlllllllllttllllllllttttlll <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,Stornwater 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 /> i-F4-t-I--�1-��1--�t--I-t-1--�F-I+N-f-t•-�4i�1--F. . . . . . . . 1--FBI-a-t--4a-1--t-4.. . ...i-F-1.-1.- <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 Attomey(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 />