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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ! — CN V � <br /> Owner's Name LmL Grn j Owner Phone Number 8�3' <br /> Owner's Address 38►�oa lve Zk-i lls PL 33 q'A Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �j <br /> JOB ADDRESS �fla R VL zVl l `is I 335 ` LOT# <br /> SUBDIVISION PARCEL ID# `a�'��' ���� ' I [Lacc" co I l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR H <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> ,,PROPOSED USE A SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION - BLOCK Q ,FRAME = STEEL = <br /> DESCRIPTION OF WORK t� irY1 �w` Uo mar Dom' tsu�i cZ-�tccl,� <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ I n �On . VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 1 '{ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 1� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 10it" <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO &Cu y �— 0 p <br /> 1/ <br /> _ l OM PY — .. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 11YINll <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN <br /> Address License# <br /> .PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER _ _ _ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 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. (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 />