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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting Z? <br /> ............... ................ ................ <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> 744 <br /> SUBDIVISION PARCEL ID# 11, Jr6 ,2,j elo& ZZ!Z00—41 le-V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR H ADD/Al SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK Alki h-C-) 'V <br /> BUILDING SIZE 80 FOOTAGE S HEIGHT <br /> VJ 1BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 6 AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 1 i I <br /> =PLUMBING i$ r:io 001.E <br /> EUMECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONEAREA =YES':' NCO* <br /> i �4'e—'* <br /> ................... <br /> BUILDER COMPANY <br /> SIGNATURE ZOO REGISTERED Y/ N EN 1,--:Y,/N-.A'1',' <br /> Address o License, <br /> ELECTRICIAN COMPANY ;0A11( <br /> SIGNATURE' REGISTERED Y/N <br /> Address LicerIse* F <br /> PLUMBER COMPANY <br /> :SIGNATURE REGISTERED Y/-N, FEE CURREN LXLN <br /> _J <br /> Address License J <br /> MECHANICAL COMPANY <br /> SIGNATURE FEE CURREN <br /> Address License# F <br /> OTHER !COMPANY <br /> SIGNATURE REGISTERED Y/ N- FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of�Bulldlng Plans;(1),set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)workin'g-days after submittal date. Required 1 ... onsite,Construction'Plans,Stormwater Plans wt Slit Fence Installed, <br /> Sanitary Facilities&ldii mpster,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)working4ays after submittal date.. Required onsite,Construction Plans;:Stormwater Plans wl Slit Fence installed, <br /> Sanitary FacllIties.&'1-dumpster.'ZIte WorltlPermlt 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 /> ................. ........ <br /> FBI 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); 7: <br /> Rero6fs if shingles Sewers.; ServiceUpgrad&s A/C; Fences(PlottSurvey/Footage) <br /> Driveways-Not. over Q i.jf On 611c ..needs ROW <br /> pqways <br />