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81.3-7180-0020 City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> . ................rffm m­s,".........­... . a I .............. <br /> Owner's Name Owner Phone Number <br /> r Phone Number <br /> Owns <br /> Owner's Address P 1 1. <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> -::d JOB ADDRESS PL!z:)� —Phw Mi S�S 'F1 LOT# <br /> SUBDIVISION I('It- <br /> r7— <br /> '�A f\11 PARCELIDO[I <br /> 0 1 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL ® REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> sisssiiss <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA =YES NO <br /> ............... <br /> W... <br /> BUILDER COMPANY <br /> SIGNATURE -REGISTERED --FEECUPAEt% Qv" <br /> Address cala\k bw,ck vohw-hl k k 35!aoL License# oss 3Gl <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LKLN <br /> Address # r <br /> PLUMBER COMPANY LILN_�Y <br /> SIGNATURE REGISTERED Y V W, �FEE,CURREN <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y1 N :FEE CURREN <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/,N FEE CURREN <br /> Address Ucense,# P— <br /> RESIDENTIAL Attach.(2),-Plot Plans;.(2),sets of.Building-Plans;(11)-setofEnergyforms;R-O­W Permit4or new construction,,. <br /> Minimum terf*(10)worWirtg'd6ys'aftorsubmittal,date.,,Re4uir'e'd-onsite,­Construction Plans,8t6rmwat6r Plans ml 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;:(I)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(16)working.days after submittal date; Required.onsite,Construction Plans,Stormwater Plans wl-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 /> ........ PRIEM ....... <br /> Fill out application completely. <br /> Owner&Contractor slgrk,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 Sbwers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />