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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received f-�� Phone Contact for Permitting <br /> iittaiii halt <br /> Owner's Name -7 /� Owner Phone Number <br /> Owner's Address Jr/ ea W04VJ v Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address L <br /> JOB ADDRESS (/pf S //� y� . p ,ems LOT# <br /> /v SUBDIVISION (Q 4hlooGf PARCEL ID# JOL i�16 w G�0 6�80 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� DlALT = SIGN = = DEMOLISH <br /> INSTALL R <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL GQy <br /> DESCRIPTION OF WORK t/Q �Q�6 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $/ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 410 t./ �D 6 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION n v <br /> =GAS = ROOFING = SPECIALTY = OTHER !� 'v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA _YES NO� <br /> BUILDER COMPANY V«' (/ /` aws 74 s• e <br /> SIGNATURE // REGISTERED Y/N FEECURREN Y!N —62-`UJ 6d <br /> Address Co —fp� License# <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ii■iiiiiiiiiiiiiiliiii.Itiiiiiiiiiiiitiiiii' <br /> RESIDENTIAL Allach(2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms;R-O-W it 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 Farms.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 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 /> ---------- ------------- -- <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 roadways..needs ROW <br />