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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Y <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name CUtol rCV44e MC&(_VVX 1 Owner;Phone Number S)—�� <br /> 71 <br /> Owner's Address 6-7 Z I &e'5LJ00,4 Owner Phone Number <br /> Fee Simple Titleholder Name I Htom- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS El LOT# <br /> SUBDIVISION PARCEL ID# 0_, � Z — �'C--CCXX:�' " ©`�:�>o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> B. INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK A-G l O J <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $' AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $.5 COD,TO VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY = OTHER j <br /> FINISHED-FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1, <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED �Y/ N FEE CURREN LYIN <br /> Address License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED. Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN LKLN: <br /> Address License# <br /> MECHANICAL COMPANY. <br /> SIGNATURE RIEGISTERED Y/ N : FEE CURREN Y/N <br /> Address L License# FET J I� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y./ N ' FEE CURREN Ly <br /> /N <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 date:.Required onsite;Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsharge 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-submittaldate. 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 /> 'Directions: <br /> Fill out application completely. <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 if shingles Sewers Service Upgrades A/c, Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />