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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dite Received Phone Contact for Permitting ) <br /> a aItaa[ a Ix to <br /> Owner's Name —AA ,1 ' Owner Phone Number <br /> Owner's Address & /� Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address D <br /> JOB ADDRESS J" f� � \ �7 LOT# <br /> SUBDIVISION CELID# y2 J OPM <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAEL / 11,P Tl�G 4A <br /> AA.DU� - /mil//+! /� N -� •e f�l•P 7 <br /> OE f.0e <br /> DESCRIPTION OF WORK APO SIZE SO FOOTAGE HEIGHT /4PO s`�/Cx <br /> .;;;;;;;;;;t;;;;R.Cx.;;;R.;t;;;;{;;;;;;;t;;;;;;;;;w.;{t;Stxl;;;;L;;;t;;;;� /� /�eh j9 "�/, <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION �(a�I(/ �L ihf <br /> ELECTRICAL $ ��!/ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 06 <br /> =GAS M?t ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO L <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN L11 N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I 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 ,5 <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/ <br /> Address4*VTtt'�_;JM4a ,0X2 . License# <br /> tI[II <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/Sill Fence installed, <br /> Sanitary Facilities&1 dumpsler;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 dale.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpsler.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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />