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813-780-0020 City of Zephyrhills Permit Application Fa)A18-780-0021 <br /> Buildinj Department <br /> Date Received s �13 ��� _ <br /> Phone Contact for Permitting <br /> Owners Name Ct/I p� 'F�wc7LA�1 mpfi a(> Owner Phone Number <br /> Owners Address 0 U� TJIQ� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ` _ %� <br /> JOB ADDRESS S'O, b' / LOT# ?� <br /> SUBDIVISION PARCEL ID# 'f-rp—ZI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> F INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK �( �L�'2;tiacc"L T i!_f,Y�- OF) 51 'o <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING t k&JL IL$ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ J AMP SERVICE = PROGRESS ENERGY W.R.E.0 <br /> =PLUMBING $ ' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY �RTZtIJ sCflAer6 ff�JL^ <br /> SIGNATURE (� �! 'REGISTERED Y/N FEE CURREN Y/N✓1 <br /> Address O VAIP� ��� License# sCL 12-0 q I l <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y!N <br /> Address License# <br /> !Intl!!"!!! 1'i"![!!i"!"!!i!! I!!.!!liiti!!_E.9(ifi!!(E!li-ii !!!i!a all Ia!!!-E!!!i'. <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,Stommwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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 /> 5 <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(far 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 />