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813-780-0020 11 Fax 813-780-0021 <br /> City of Zephyrhills Permit Application Building Department Vo 6/- .? <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name ! v {- `r,&-_ f-- ( Owner,Phone Number- <br /> Owner's Address �,Sl & d• pvcY Owner P,hone:Number-, <br /> Fee Simple Titleholder Name Owner Phone Number- . <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS . C LOT# . <br /> SUBDIVISION: bM �C`PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED• NEW CONSTR ADD/ALT = SIGN- 0 = DEMOLISH <br /> INSTALL B. REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION.- Q[j /BLOCK 0 FRAME f = STEEL = <br /> DESCRIPTION OF WORK `Tl G I� s S I'c_/✓l �C/ <br /> BUILDING SIZE SO FOOTAGE HEIGHT'- <br /> .......... <br /> =BUILDING; $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL . $ AMP..SERVICE = PROGRESS ENERGY 0. W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ Q 0 / VALUATION OF MECHANICAL INSTALLATION <br /> c <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED'FLOOR ELEVATIONS FLOOD•ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> 'SIGNATURE 'REGISTERED Y/•N: FEECURREA y N- <br /> Address F7 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURd REGISTERED I Y/ N J FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Address ' License•# [,, f <br /> MECHANICAL COMPANY IJ�40' l �/L J =Gib <br /> SIGNATURE REGISTERED, Y/.N -FEE CURREN Y/N <br /> Address lG 2 `f� �d 3 �, License# <br /> OTHER ! COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE,CURREh <br /> Address License,# <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 iiate. -Required onsite;Construction Plans;St6rmwater 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)-working days after submittal.date. Required-onsite,Construction Plans,-Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&11 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. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized•letter from ownO)uthorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract.required) <br /> Reroofs if shingles $ewers"" ,—`Service-Upgrades..A/C.,-.--,;Fences-(Plot/Survey/Footage) <br /> Driveways-Not over Counter If6h•public roadways..needs ROW <br /> t...,,,,•,,..,-�.,.,.,....:' .y;4 yr.�..,. . ,, °..S•:,.: <br /> �r•..w,-r,s,.t <br />