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813-780.0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received —2 — Phone Contact for Permitting $v5 q31 _ (0l03 �135 <br /> - <br /> Owners Name Wanda w�IA,M 'f 6 S�ti i(Kier l Phone Number � <br /> Owner's Address J 0 b Si'K Owner Phone Number 3- 31 0 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n u <br /> JOB ADDRESS 5 Z I v+� V ! I S ��5 l LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a ADD/ALT Q SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION 9 BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK ate:AJ Y 5aws J) ZL Pl Sl <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $"7WO.O O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ! AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ )�� 4)jC'� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1"_ <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO av <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LILN <br /> Address <br /> License# <br /> OTHER Ur' COMPANY Ur c It x j-{rl G rs 7^C <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address °l I S N acwj-, License# [CA <br /> C d 5-7 Z l <br /> lllllltlllllllllllllllltlllllllllllltllllllllllllllllllllllllllllll <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 Penult for subdivisionsllarge 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,Constriction Plans,Stonnwater 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-Not over Counter N on public roadways..needs ROW <br />