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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received L -1O( Phone Contact for Permitting J -`� t - _ <br /> Owner's Name Lz V CCCC c Owner Phone Number <br /> Owner's Address l pp.0 s C ' Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 50 W 1 vY(�`n' -�btl IN LOT# <br /> SUBDIVISION M'ddm 11/C}' PARCEL ID# - aW t(()— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT " SIGN " " DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE " SFR Q COMM " OTHER <br /> TYPE OF CONSTRUCTION Q`/ BLOCK(I 0/Q [`{(�FFRAAME " STEEL <br /> 1 " <br /> DESCRIPTION OF WORK 1 V I 1 I V 1n tI <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> "BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE " PROGRESS ENERGY 0 W.R.E.C. <br /> 4PLUMBING $aQt5- CD <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - -I G- <br /> 2 <br /> =GAS " ROOFING " SPECIALTY " OTHER J -7_6 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO v <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address �LiLcennsse##n ry,, <br /> PLUMBER COMPANY J`\("V I <br /> SIGNATURE G REGISTERED Y/ N FEE CURREN YLN <br /> Address � License# -O <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZ/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> Illlllllllllllllltlllllllllllllllllllllllllllllllllllllllllllllllll <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,Stonnwater 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 /> . . . . . . . . . . . . . . . . . . . <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 />