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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-vim_ <br /> Building Department <br /> Date Received !© Zp2� phone Contact for Permitting — <br /> Owner's Name V�i Owner Phone Number �[.� 36I 6 0` <br /> Owner's Address I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F7 <br /> JOB ADDRESS ,53� L —J LOT# <br /> SUBDIVISION PARCEL ID# v,6— O j0 " OQ 600- 0O VO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM ] OTHER C G <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 ySTEEL = <br /> DESdRIPTION OF WORK ` ?\ I Ii7-,AcC— 6 I /� I qP <br /> BUILDING SIZE :11SQ FOOTAGE HEIGHT <br /> =BUILDING $ Je0L9 $' VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ " <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> OC <br /> BUILDER COMPANY NC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 39-3�25 � �� h r�` F t'- License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN <br /> Address License# <br /> PLUMBER COMPANY <br /> ;SIGNATURE REGISTERED 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 F. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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 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,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. (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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> sways-Not over Counter if on public roadways..needs ROW <br />