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'&fJ:t 8 U-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting [("ill;a ):JSCA Lokp�S <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name -PI-Me <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f;b 1 LOT# <br /> SUBDIVISION _,,I ff I•� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTFIR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR = r;r)MM. i En' <br /> TYPE OF CONSTRUCTION 13LOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> UILDING is <br /> . . . . . . . . . . . . . . . . . . . . *VALUATION'O'F'TOTAL'CONSTRUCTION. . ... . . . . . <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LtLN J <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LUN J <br /> Address License# <br /> PLUMBER COMPANY L <br /> SIGNATURE 'Kt(96IItREI3 FEE CURREN I YIN <br /> Qa <br /> Address .01P I icense# <br /> MECHANICAL <br /> COMPANY <br /> SIGNATURE <br /> REGISTERED I Y/N FEE CURREN LUN_j <br /> Address License#F- <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURREN I YIN I <br /> Address I License# <br /> RESIDENTIAL Attach(2)Flot mans; sets or Bunning Flans:(1)set at i:-nergy t-orms;R-U-W I-emirt lot new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans vd Sift Fence Installed, <br /> Sanitary Facilities&1 clumpster,site Work Permit for subdivisionsilarge 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 Sit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for ail NEW construction. <br /> . . . . . . . . . . . • . . . . . . . . . . <br /> DlrecNonst <br /> Fit'- <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remoila If shingles Sewers . Service Upgrades A/C Fences(Plotf$urvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />