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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department -7 5 (G -7031 C-C ff <br /> Date Received -7 <br /> ] Phone Contact for Permitting `02 <br /> Owner's Name K-�C h T cv-&-p n,S Owner Phone Number <br /> Owner's Address {' C � �''S T �% 6 a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (( /I rr <br /> JOB ADDRESS 3 8 G('� �� � 'k,( ►1f �L� �J A- ?s� LOT# <br /> SUBDIVISION - PARCEL ID# "02� -�7d�b `�®7CaG <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAM.E = STEEL Q G <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE /7-6 HEIGHT q p4 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ "da AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS as4W,6G FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN Y/N <br /> Address License# <br /> 1%9 Owl <br /> ELECTRICIAN COMPANY � �ry�c� cc CID IP T .� <br /> SIGNATURE REGISTERED JCV N FEE CURREN <br /> Address�Pd` >s� ,� <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN L11 N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I 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 /> I�Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> PERMITAttach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ivviiviiiii <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•�oadways..needs,.ROW <br /> s J ' <br />