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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> /J Building Department <br /> Date Received 9 1! Phone Contact for Permitting <br /> :awls Elll w a xPE W €as&& <br /> Owner's Name /({/ b Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ��r <br /> JOB ADDRESS • �] bwal/ LOT# <br /> SUBDIVISION I PARCEL ID# //— JP_ / 10'Olt)- 0 71 oD 1010164 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK LAM ,U S9 P AK S,5 e 64 w kI <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 'z'�c-c'aE-�za:ric•r-e-�c-c-c-rers r:c-e•I�iec•rle z a-�'is-c"c-$:-c-c->f.-r s lr zz-E•le:z�-c-rz•'le'ri-a-le�c-c-�-w-c�:�•�•'�z'z•'>E"ie-�[-r <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ r DD VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <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 Y/N <br /> Address I License# n <br /> MECHANICAL COMPANY T//�� LLC <br /> SIGNATURE REGISTERED Y/N FEE CURREENp Y/N <br /> Address D �� License# L <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> :l.l.l a if!l l l 1.1.1 2.93E 1 I. 1 T.l a.L.1 l.l.W2 I.[.l:l9.l l_i l l a 1 1.9l 1.1l■.f.Y.i.l.l a WA 1.1.1 l 7:1 1'If'l l T.l <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 dumpsler;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Bullding 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 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.(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 public roadways..needs ROW <br />