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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Z d Phone Contact for Permitting 813 1 Z - q S J <br /> Owner's-Name G�� QpCt tub• L G Owner-Phone Number . <br /> Owner's Address re.o. loin Dc-de, c r re- 3s. Owner.P-hone-Number <br /> Fee Simple Titleholder-Name Owner Phone Number <br /> Fee Simpi®Titleholder Address <br /> JOB ADDRESS C . h ll I �(� 3• �j LA Z LOT# . <br /> SUBDIVISION PARCEL,ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NEW CONSTR . ADD/ALT = SIGN. Q = DEMOLISH- <br /> B INSTALL B ; REPAIR <br /> PROPOSED USE Q: SFR - .. COMM 0: OTHER <br /> TYPE OF CONSTRUCTION. Q BLOCK Q FRAME _- STEEL 0 <br /> DESCRIPTION bFWORK ' w <br /> BUILDING SIZE SO FOOTAGE'= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP..SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ C� VALUATION OF MECHANICAL INSTALLATION / 7� <br /> ( •1l 3 <br /> =GAS = ROOFING Q SPECIALTY.= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD-ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> -SIGNATURE REGISTERED Y./-N ; FEECURRED LILN,' <br /> Address License# <br /> ELECTRICIAN COMPANY _ <br /> SIGNATURd REGISTERED Y/ N FEE CURREN LYLN <br /> Address License# <br /> -PLUMBER COMPANY <br /> SIGNATURE REGISTERED ' Y/ N FEE CURREN -Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y[ N FEE-CURREN Y/N <br /> Address i F77 License# . <br /> OTHER COMPANY. <br /> SIGNATURE REGISTERED Y/-N FEE.CURREh Y/N <br /> Address License.#. <br /> RESIDENTIAL Attach(2)Plot-Plans;=(2)-sets of,Building-plans;(1)set of Energy.Forrns;R-O-W,.Permit for:new-construction, <br /> Minimum ten(10)-working days,after submittal-date. -Required onsite,Construction Plan's;-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):wotkIng days after submittal.date. Required.onsite,Construction Plans;:Stonnwat&:Plans.w/Silt Fence Installed; <br /> &Sanitary Facilities I 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. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(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:' -.'.';Fenpes(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways:,rieeds_ROW ', <br />