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ar 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received T Phone Contact for Permitting — <br /> Owner's Name d -7— AX<:> Owner Phone Number 63 <br /> Owner's Address IfgdRl Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 60a t D'r A✓E Z6P9ItRtfle-1 13 � LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER .I F AIC� <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME _ 'STEEL =^ A <br /> DESCRIPTION OF WORK �vT v� P�/VA-e'`V �fwCE 1—�W � -6 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> ESPBUILDING $ OO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' ✓ 2 <br /> =GAS = ROOFING 0. SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES''' NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED. Y/.N ;'`.:.EE`CURREN <br /> Address m License.# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/. N.- ... FEE CURREN LnN <br /> Address License## <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/'N, ` " FEE CURREP <br /> Address L License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N '3' FEE CURRE� Y/N <br /> Address License# <br /> OTHER 'COMPANY <br /> �IGNATURE REGISTERED Y/ N. . FEE CURREN Y/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;-Coristruction Plans,Stormwater 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;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 />