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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ................ .......rrinr= ................. 11 11111111 ITM ...... <br /> Owner's Name 2,,,,,r, Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 408 ADDRESS LOT# <br /> SUBDIVISION' PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK R13 F+ VI: ,L Fc-7,N C C_ <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> .......... <br /> =BUILDING "I c' I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMPSERVICE 0 PROGRESS ENERGY Q W.R.E.C.- <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r__ ROOFING - -t Q e3 <br /> SPECIALTY OTHER <br /> . 7 FINISHED FLOOR ELEVATIONS FLOODZONE AREA =YES NO,`­' <br /> i i i's i N i i i i i i i i i I i i I v I i4 2 1 2 a i 1.1 H H i+H <br /> 11+1 H'I 1 144 H+I+ <br /> BUILDER COMPANY <br /> ildNATUR�O -REGISTEREO Y/,N E CURREN­+' <br /> 117 <br /> Address o License,' <br /> ELECTRICIAN :COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN LILN_J <br /> FAddress Licensai <br /> PLUMBER COMPANY <br /> .:SIGNATURE REGISTERED I Y/ k—l" - FEEcuRREN LILN J <br /> Address :'license# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y,/ N,,.': FEE CURREN Ly JN_J <br /> Address License#, <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <br /> H4+ <br /> RESIDENTIAL Attach(2)Plot P'fans;(2)set&of,BuIIdIng Plans;(1)set of.Energy'Formi R-OwW Permit for new construction, <br /> Minimum ten(10)Working days,after submittal date- Required onsitei Construction"Plans,Stornimater Plans,w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdiviiionsfiarge 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 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 /> *"'PROPERTYiSURVEY-required for,all NEW.construction. <br /> ............ ........... <br /> frectil o'ns:! <br /> Fiffout 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 Powerof Aftompy,(!kr the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING,­�'.;n::;(copy.61"66ritract required).Z1 I , red) <br /> Reroofs if shingles &wers Service -Aiii -'Fences(Plot/Survey/Footage) <br /> Driveways-Not over.Counter flipri public roadways-.needs ROW <br />