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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department y� 1 I <br /> Date Received Phone Contact for Permitting C) — l v(9`1• <br /> �3E�!lt33 €l€€t <br /> Owner's Name , ( Owner Phone Number <br /> Owner's Address ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 1 JOB ADDRESS � LOT# <br /> SUBDIVISION Qy c\'—V)Van(Y PARCEL ID# <-.6-21D— 66 �M3-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR / n_ <br /> PROPOSED USE SFR Q COMM I `'{I OTHER IC p U=-AYks— <br /> TYPE OF CONSTRUCTION BLOCK 0 FIR AMEf� = STEEL = <br /> DESCRIPTION OF WORK r�( <br /> BUILDING SIZE I SQ FOOTAGE 1 Z HEIGHT ti `�j� <br /> \ <br /> Z'7 L k "L-IE->f FCIEE>fE IC!CIE-E IE�'E'�7!E>f€>IT��FIE"€'BE���C�IE�-IE�-IE-�X€ E-€C_1E_IC ivr <br /> UILDING r`I $ + �7,� VALUATION OF TOTAL CONSTRUCTION <br /> rELECTRICAL d $ i (JVV AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <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 Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY Qm a <br /> SIGNATURE ` REGISTERED Y N FEE CURREN Y <br /> Address r 1 S 1 V\ c, Q. License# <br /> 1f11112"21ilelEt. F1fE1fY1f>S)EIf1€.�1EIg[[ Y1€ig1Qi -i1E 2 t11Ett III It 1f !)f l lEtt3 <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 AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />