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813-780-0020 City of Zephyrhills Permit Application 'L5 /YA Fax-813-780-0021 <br /> BuildingDe^artment V4#Jl70 <br /> Date Received Phone Contact for,permitting - <br /> Owner's Name Irl C� ( l - Owner Phone Number <br /> Owner's Address Owner Phone Number. <br /> eaaFee Simple'Titleholder'Name [ I it, ` i Owner Phone Number <br /> Fee Simple Titleholder Address cS r'"�^'" <br /> JOB ADDRESS S l LOT# <br /> SUBDIVISION PARCEL,ID#I 1t� nCl -GoLo <br /> (OBTAINED.FROM PROPERTY TAX,NOTICE) . <br /> WORK PROPOSED NEWCONSTR- ADD/ALT = SIGN 0. Q DEMOLISH <br /> _ R <br /> INSTALL REPAIR <br /> PROPOSED USE _ — - SFR--� ..OAIM--- ,ram OTHER_ _ <br /> TYPE OF CONSTRUCTION- = BLOCK _ 0 FRAME = STEEL <br /> DESCRIPTION OF:WORK %Q T' 14 O 1 BUILDING SIZE SQ FOOTAGE HEIGHT " <br /> a+r+! <br /> =BUILDING $ 00 ..VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE. = PROGRESS.ENERGY = WA.E.C.: <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA` '=YES, NO <br /> BUILDER �� � (� _C COMPANY <br /> SIGNATURE �C�IX REGISTERED I' -N FEECURREN - N / <br /> Address `_ � license <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N`. FEE CURREN -•Y/N. <br /> Address License <br /> PLUMBER COMPANY <br /> .tIGNATURE REGISTERED Y.[. N. FEECURREN: : J:N <br /> Address License7. <br /> # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREIN <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/'W, - FEE CURREN- <br /> Address, :License#. <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building•Plans;(1)set of Energy:Foirns;R=O=W`Permit for riew::construction, " <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans W/Silt Feh6ee,Installed;: <br /> Sanitary Facilities&1 dumpster;Site Work Permit for.,subdivisions/large projects _ _ <br /> nttacnr`npTeie sets ouildln`g Piansptus a;Lire Satety (1�set of Energy Fornis..R;O-W_Permlt for new cons6uction. <br /> Minimum ten(10)working days after submittal date. Required`onsite,Construction Plans:Stormwater Plans w%Silt Fence installed; <br /> Sanitary'Faoilities&'1':dumpster.Site Work:Pemiit,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) � � +A • =-- . <br /> Driveways-Not over Counter if on public roadways..needs ROW t ,,. <br />