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813-780-uu20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> a a a as 2a■ N 0 a I aaaa 13 <br /> //�� ^7 ^� q <br /> Owner's Name �// .GL ✓/n 4ryL/L y�(�� O�nerPhone Number 7Q(� 7 r �G1�! <br /> Owners Address !') h UC i t r� o��ed 1/r-'%4ner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address JJ / <br /> JOB ADDRESS 0 `�/ , L /)✓f 11 9t v <br /> l,* n 7� LOT# <br /> SUBDIVISION S G �/(� s �)� PARCEL ID# q O6_ 1-O -u v OU '-0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COLSTR e REPAIR SIGN = = DEMOLISH <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK d�l Pv IiY1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY E=� W.R.E.C. <br /> /PLUMBING $ <br /> =MECHANICAL $ l VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER / COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY Ek4 � P I VvVv, (- , Jn- <br /> SIGNATURE REGISTERED 77 Y/N FEE CURREN / Y/N <br /> Address fjy (, 771 License# F Z <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> taaa�l!■lalt��aalal�l�all�J�1l■a!■lal�l�llal�ll/ffallalaalal�! lal.tal <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 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.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(far 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 />