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\ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 6' <br /> bate Received Phone Contact for Permitting <br /> !!!!!!a! ,I� !!!!! <br /> Owners Name P� 6U SG Owner Phone Number �Q .9t —OPW/ <br /> Owners Address Owner Phan e Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J J J 3 GAs oec 33 a' LOT# <br /> SUBDIVISION /L r h S PARCEL ID#Pol a!o 41-WO-110SDO 0/1 D <br /> ( (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I INSTALLNEW STR a ADDIALT REPAIR SIGN Q Q DEMOLISH <br /> 5PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME ��� �STE/EL Q <br /> DESCRIPTION OF WORK S1�41� sIJLfEA�eOM I I yJvSV/igiCd OrJ CX%S�rb,, S <br /> BUILDING SIZE I SQ FOOTAGE / HEIGHT <br /> �r <br /> ILDING $�y r VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ '] AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ J <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 5 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ] COMPANY OTZ;a I Scn.2&,15 yn� <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address 4g P, License# SCC 1311 <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 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED Y/N FEE CURREN Y!N <br /> Address I License# <br /> !1.l.!!!!!!!!.!,!!.!!-■!!!!.!.!!!8!!!!!.!!!!.!!l tF!!ltti <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,Storrmwater 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 /> ------------ ------------- ------------- ------------- <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.(MC 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 />