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813-780-0020 City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received- <br /> Phone Contact for Permitting J( <br /> ................... ..................... <br /> Owner's Name Owner Phone Number <br /> Owner's AddressFq= C1C_n V4J F>[(/A C-aner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB.1 ADDRESS F1 75 t 5 61 54 7-4 to P III LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR. ADDIALT SIGN DEMOLISH <br /> e • INSTALL REPAIR <br /> ,,PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL _J <br /> DESCRIPTION OF WORK ZNI QafacAo <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 1444 1 1 1 14 I " 4 4 1 1-�11 1 4 1 2 11 1 a 1 <br /> ,, <br /> �I <br /> 3 <br /> BUILDING $ tr,%C%L�k !M r�!" <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 1 *9 <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.b. <br /> =PLUMBING $ <br /> �� <br /> F—IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I .. - I I <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES' NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED -:,FEE CURR!Eh <br /> Address I Vq? N1<1 License# I.-TC -ost 1-3-1/ <br /> ELECTRICIAk i COMPANY <br /> SIGNATURE REGISTERED Y./ ,N_1-,. FEE CURREN _Y N_J <br /> Address License"# <br /> P,LUMBER COMP SIGNATURE REGISTERED <br /> D I Y V W FEE,CURREN N <br /> Address Llbense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN <br /> Address -License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y-/.N,,i FEE CURREN LIJ N <br /> Address License.# <br /> RESIDENTIAL. Attach.(2).Plot Plans;(2).sets of,.Building rPlans;­(l)-set of Energy forms;R-O-W,Permit 4brnew-construction, - <br /> Minimum ierf(i 0)wo'rk7i"ng:'dags-eift6r,su6m!ttaI date:'Required vnsite,_Construction Plans,8tormwater Plans w/Sllt,Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a1ife-Safety Page;:(I)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimurn'ten(10)working',dayi after Submittal date: Required,onsite,Construction Plans,StoiTriwater Plans W1 Silt Fence <br /> Sanitary Facilities&1 durripster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)-sets of Engineered Plans. <br /> ""PROPERTY.SURV8Y�requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractorsign,back of application,.notarized <br /> If over$2600,a Notice of Commencement is required. (Alp 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 PERMIT-TING (copy of contract required) <br /> Reroofs if shingles Sbwers ServiCerUpgrades A/C Fences <br /> Drivewayi-Not over Counter If on public roadways..needs ROW <br />