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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 7 <br /> Date Received Phone Contact for Permitting <br /> aaaaaaaa aaaaa <br /> Owners Name _v b Owner Phone Number <br /> Owners Address 551 - OLefth III Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address n �•{� c`�' {- <br /> JOB ADDRESS `` LOT# <br /> SUBDIVISION PARCEL ID# ,Z _'2 '-2.1-UU29D 0©`Q LO V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n„ NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> �✓ INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK V AC L-%kJ A` CC (1611v k�l <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R. f <br /> =PLUMBING $ <br /> �1 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ^ ,l <br /> =GAS = ROOFING Q SPECIALTY = OTHER v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY I7 <br /> SIGNATURE ZD 11 REGISTERED /N FEE CUOkEN r / O <br /> Y�/c <br /> Address 5�i1 Q F( 33tr03 License# C n- I-I(S11Y <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LX1 N <br /> Address License# <br /> aaaaa.aaaaaaaa:caaaaaaaaeaaaaaa::aaaaa:aaaaaaaaaaataaaaaaa=aa:aaaasat <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 data.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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)worldng days after submittal dale.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.(A/C 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-Nat over Counter if on public roadways..needs ROW <br />