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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> r <br /> Owner's Name 11 J Owner Phone Nun-M, Z <br /> (67V 1 - <br /> JAI'111 <br /> Owner's Address <br /> I-T 1-17 Owner Phone Number <br /> 6�q <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 1396 140 Af M 2 t' _?31'1� LOT# <br /> SUBDIVISION PARCEL ID# _dt I06L 0'O&O� 00 Z n 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> A <br /> DESCRIPTION OF WORK l'J: ZST0,'J MoAar-1 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING I$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS F FLOOD ZONE AREA =YES NO <br /> ........ ... .7. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUR I' L Y/N I <br /> Address License# <br /> .ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <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_J FEE CURRY, <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# I- <br /> HHHH I I I I I I I 1 2+11+ 11,HH fill Hif I HHHHIt+ <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&I dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach-(2)-c9TnpIete_ii&ts of'Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new-constrddoiif_ <br /> Minimum ten(10)working-daysft-eT:i Orbidal'd&t-e=.Rinquited onsitei,Construction Plans�,.Stormwatei.01-ans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all he%�Lprqjacis.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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or pc4ret 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 /> Reroots It shingles Sewers <br /> fervice Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if ol,pyblic roadways..needs ROW <br />