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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 P'ermittirig 111913 <br /> Owner's Name S�Lrl- <br /> fy Owner Phone Number <br /> Owner's Address J A7 Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Ma Xr-,-dil-e 2V4,,,-//,-//s I K6- 330 LOT <br /> C)SUBDIVISION 16 WW PARCEL ID#1 —06 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F,-4—ADDIALT SIGN DEMOLISH <br /> R INSTALL rl REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK F'&)-'�s AV— A,mo <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING F'900.0 b 1 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E C <br /> =PLUMBING 1$ I W.R.E.C. <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION /) <br /> L) <br /> =GAS ROOFING SPECIALTY = OTHER V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE VIA!4- REGISTERED I Y/ N FEE CURREN I YIN <br /> Address 3 1 R+ License# 1 C16cld-s-ttllfs <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATUR <br /> E REGISTERED Y/ N FEE CURREN [�--N <br /> Address License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/W <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <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,Storrinwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster Site Work Permit for subdivisionsAarge 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 wl Silt Fence Installed, <br /> Sanitary Facilities&I clumpster,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. WC 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />