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813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received I/C(. Z Phone Contact for Permitting Tl�3 �7wl Z Gn <br /> Owners Name Owner Phone Number OI', ,L <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> —Fee Simple Titleholder Address 1 (' �/� <br /> JOB ADDRESS Sk L1t.J �`� 1 7 LOT# <br /> SUBDIVISION �� PARCEL ID# -2A' O1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = 2<IOTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STE L }� n <br /> DESCRIPTION OF WORK D �ri/CG /✓��P L • `C <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> ITr.." <br /> BUILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ -tee K0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Tri . . . . . .•TITrt• T . . . nT. . . . . . <br /> BUILDER ` COMPANY I rec,10" Z26c JeeelCG <br /> SIGNATURE REGISTERED --EVET FEE CURREA I CV N Address 37-7 0 04,2c'A$1e,V License# Fe�jC J/C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllltllllllllllllllll <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 dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/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 /> �1�-1-d-I+1--FI-1+4-F. 1-.1-f+ 1-. 1-1--FFi--1-I.-1-F.i-1-4.i-1--FFb.i-1--��'T.��f••L-1-1..1- <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 Attomey(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 />