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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 663 ) — 703� Phone Contact for Permitting <br /> Owner's Name 0.fi� Owner Phone Number <br /> Owner's Address arev\kwood Or Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I ,,_1 <br /> JOB ADDRESS b2 .lglif wo0a DY LOT# � <br /> SUBDIVISION PARCELID# b —U- O <br /> TWO —0000O"090Q0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM _ OTHER OZVV\ <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME <br /> (/��0` ,`STEEL 0 I r <br /> DESCRIPTION OF WORK <br /> r�([`, ',v\sVv_{(A � oot- �)W tW, y O sill{1 v CL <br /> BUILDING SIZE 1 h SQ FOOTAGE h HEIGHT <br /> BUILDING $ !!S0O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ J AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION CIF <br /> 1 <br /> =GAS Q ROOFING Q SPECIALTY = OTHER /\ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V <br /> BUILDER COMPANY REGISTERED ERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL - COMPANY <br /> SIGNATURE EGISTERED I Y/N I FEE CURREN Y/N <br /> A ss License# <br /> OTHER —. ^•' OMPANY �w2 TCtLAAA•kQVV\ <br /> SIGNATURE _- s 1 REGISTERED Y/N FEE CURREN <br /> /', Y/N <br /> Addres G � ` License# RIA31(Sk <br /> [![[ [[[[ i[[[[[[[[[[ [[[[[[![[[[[[ [[[[[laws[[[[ ![[[[[[[[[[[[salami <br /> RESIDE TIAL 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 Energy Forms,R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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 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.(AIC 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 /> Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />