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813-780-0020 City of Zephyrhills Permit Application Fax-813-78B-0021 <br /> Building Department <br /> Date Received phone Contact for Palm — <br /> all asaaa aaa <br /> Owner's Name h1&—ffO z6cr Owner Phone P bon <br /> Owner's Address P�h Number <br /> Fee Simple Titleholder Name er Pho�Number <br /> Fee Simple Titleholder Address ) <br /> JOB ADDRESS S L► LOT# �,� <br /> SUBDIVISION PARCEL ID# �� DD O U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS R ADD/ALT = SIGN Q [--I DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER 1 <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME <br /> DESCRIPTION OF WORK �r� ru�� � �,�• <br /> BUILDING SIZE i SO FOOTAGE / HEIGHT <br /> BUILDING $ IQC} LUAtQJMFTOTALCONSTRUCTION <br /> =ELECTRICAL $ AMPSERVICE = PROGRESSENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION FL <br /> =GAS 0 ROOFING �] SPECIALTY [= OTHER L <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO / <br /> BUILDER COMPANY <br /> SIGNATURE REGI RED I Y/N FEE uRREN Y/N �✓ � ��" , <br /> Address /� 33��.3 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address Ucense# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address Ucense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address I Ucense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED f Y/N FEE CURREN Y/N <br /> Address License# <br /> aaaac[aaaaraaaaaaaa[eaataeaaeea[e[actaaaaaaa[eaaaraetaaaaaaaaaraaaa: <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OW Permit for new construction, <br /> Minimum ten 00)working days after submittal date.Required onsfte,Construction Plans,Storowater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pemrdt for subcrmsionsAarge 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 orsite,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 eonstructton. <br /> Dlreuxions: e _ _ e <br /> FIll out appticaticn completely. <br /> Owner&Contractor sign back of application,notarized ' <br /> If over$2600,a Notice of Commencement Is required.(A/C upgrades over$7600) <br /> '- Agent(ror 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 8 shingles Sewers Service Upgrades A/C Fences(Plot/Sumey/Footage) <br /> Driveways-Not over Counter if on public roaduays..needs ROW 1 <br />