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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ff� Q�rl <br /> Date Received 3- 16—2- J phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address <br /> Gotdon S 1 • Qwnwner Phone Number D6,3^ `Q-q> <br /> Fee Simple Titleholder Name ' " f \ Owner Phone Number <br /> Fee Simple Titleholder Address I (� <br /> JOB ADDRESS L �L( `1 V���U n S� LOT# <br /> SUBDIVISION F�YV�t� `S `� l / PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> Ef- INSTALL REPAIR <br /> <PROPOSED USE [2/ SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> c Q �0 FRAME = STEEL <br /> f' _ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE "l X J SQ FOOTAGE l(j"t"I HEIGHT <br /> iiiiisooii <br /> BUILDING $ r1r� U� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ /)L �C U AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING Is Dd�r1 q�Q _D Z X7 to <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER F'� 5 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO (� v <br /> BUILDER COMPANY <br /> SIGNATURE �, `� l REGISTERED Y/ N FEE CURREN Y/N ' <br /> Address b W �-� � r Ql� License# F1 I�2-S�t�D <br /> ELECTRICIAN COMPANY OSh e%xrv1eS <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y,/lN�-, <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# 0 6%Li•�7 <br /> MECHANICAL COMPANY o"e-S ' & <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Yp/N <br /> G 1�- <br /> Address License# D`OG <br /> S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <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 Eri'ergy-Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storm wvater'Plans w/Silt Fence installed, <br /> Sanitary Facilities&I 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 />