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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department A <br /> Date Received s�.otooZO Phone Contact for Permitting ��� 71 — 7�A <br /> Owner's Name 674K CGO C(C Owner Phone Number `7/ <br /> Owner's Address �a r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address a <br /> JOB ADDRESS 3 8 Sr�d� Pt�Gd"-'&'.' A-V�ei LOT# 7d� <br /> SUBDIVISION '-I l 'e__ PARCEL ID# 33� QM" <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q o <br /> DESCRIPTION OF WORK /ti$� / S <br /> All- 114S-/ A� <br /> BUILDING SIZE SQ FOOTAGE IGb� HEIGHT � <br /> loll <br /> =BUILDING $ ^� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ C/� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> .=PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIO S FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address EJ 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 <br /> Address I License# <br /> L <br /> OTHER COMPANY �� �� O°i✓n Rif'/ I.-le— <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N �) <br /> Address ,AsA 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 dumpstee;.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 duinpster.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 pubilc,roadways:.needs'ROW <br />