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813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> 'i!i!,!!!i p "i&Sl! <br /> Owners Name `�Q 1( � Ow{� ner Phone Number 3-,Q 1t7 <br /> Owner's Address 500c> PI O'no AD%f) .r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address , n ,p <br /> JOB ADDRESS 3 S eQ c.J LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Qn BLOCK 0 FRAME <br /> _ = STEEL <br /> DESCRIPTION OF WORK \�1�+ `a "pgak-e{r <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> .;.;.�..�.�.;.X.;..L..CAC.UX X'X i.X R. i.'X.�.X..£.X i:'€"3C.L.'i.3C;.x..R..I.3CXX{I <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> ESQ LUMBING $ (fXD <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> /� <br /> PLUMBER COMPANY A-C l Ip <br /> SIGNATURE REGISTERED /N I FEE CURREN <br /> I� Y/N ^� <br /> Address 'IBM 9—T L[' C,,License# VA2D # <br /> MECHANICAL COMPANY <br /> SIGNATURE I Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> Il.l[lIIIII-I"[-3i.'I"IEa!all <br /> .III <br /> ga11.91225i-$.i#.'EI glitz 1.3.1111 <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 />