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818-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ,a Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> taa.aaaa a a x�rst t <br /> Owner's Name z " ' (/U�1� !1�. Owner Phone Number <br /> Owner's Address 2� !� % `/ Owner Phone Number <br /> 33h��h <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder AddressJOB ADDRESS 1,l'(D / O � v _ Z� % �t/ J LOT# " �I <br /> SUBDIVISION , � � PARCEL ID# o4—a — 1—a&-pow 06 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM �- OTHER <br /> TYPE.OF CONSTRUCTION = BLO�C7Ky. F- , ,FRAME �J� STEEL 0 <br /> DESCRIPTION OF WORK `/��GZL/ // �/�/ �tr� �i�i C'm <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> 0 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE J REGISTERED Y/N FEE CURREN Y/N <br /> Address 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 CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address n License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N ` <br /> /n p � L ,y, ,I <br /> Address (�1 q0 l � UI y rL 5Y Z License# ��J <br /> ttttEt.ttttil.1992astaggla Isit illilIEll #lN1a1.111aam11aa111IQi2aI gas 11.t1 [ailtagi <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$2600,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 />