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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-CO21 <br /> Building Department <br /> Date Received Phone Contact for Permitting la5a ):?SC-q L W'-As <br /> owneesmarne . Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS M LOT# <br /> SUBDMSION llf V-�C—) I PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR r7 ADDIALT SIGN r7 DEMOLISH <br /> P INSTALL " REPAIR <br /> PROPOSED USE SFR crmw <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 7rx)nNr, <br /> BUILDING SIZE SQ FOOTAGE1 _ HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> r7BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> rLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILVER ANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address —1 License#F_ <br /> ELECTRICIAN COMPAY <br /> SIGNATURE REGISTEREND I YIN FEE CURREN LaN j <br /> Address I License# <br /> PLUMBER COMPANY C <br /> SIGNATURE WEG!SfiRED II V FEE CURRW__ Y 1 N � <br /> Address Cri License# :.P ws <br /> MECHANICAL COMPANY EQ;� <br /> SIGNATURE REGISTERED FEE CURREN LYIN J <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN I YIN I <br /> Address I <br /> ttlllililttltttiilittltitttittittlttttitlitttitttttttitltltltttltlt <br /> RESIDENTIAL Attach(z)Plot Plans;(z)sets or building Plans;(1)set of hnergy 1--orms;K-U-W Permit Tor new construction, <br /> Minimum ton(10)working days after submittal date. Required onste,Construction Plans,Stormvster Plans w/Sit Fence installed, <br /> Sanitary Facilities&I 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,Stormwater Plans wf 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 /> .11. 416. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <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 /> Reroofs,It shingles Sewers . Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />