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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> s <br /> Date Received Phone Contact for.PermittingE......... — <br /> Owner's Name �/1 S 'J Owner Phone Number <br /> hu/hl ! <br /> Owner's Address A 9 a&2 IwQ 3 S .- Owner Phone Number - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address f <br /> JOB ADDRESS ��0 at L"ua mp/ V1 Low k�i 3 LOT <br /> ? # <br /> SUBDIVISION. PARCEL ID# z1-Q o i ko OU UUll-D 0 3d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL B REPAIR', <br /> PROPOSED USE = SFR 0 COMM = OTHER. <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0" - STEEL = <br /> DESCRIPTION OF WORK ele Cfl�h S !P►$ ec# to leSlOrt' r �(lj�L <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ iD AMP SERVICE Q PROGRESS ENERGY Q WA.E.C. <br /> r(� <br /> �VI_C <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY ,= OTHER <br /> FINISHED:FLOOR ELEVATIONS FLOOD ZONE•AREA =YES NO <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN t® COMPANY <br /> SIGNATURE! `V REGISTERED, Y/ N FEE CURREN :Y/N <br /> Address rM I berku h ✓vJS 33 sold License# 5 d <br /> PLUMBER FCOMPANY <br /> 'SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY. <br /> SIGNATURE REGISTERED' Y/ N. FEE'CURREN Y/N <br /> Address License# . <br /> OTHER COMPANY, <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-sulimittal.date. Required onsite;Construction Plans,Stormwater-Plans w/Silt�Fence*Installed, <br /> Sanitary;Facillties&I 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 /> 1 <br />