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513-78M020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name (, n C(/ ✓l LUC weer Phone Number <br /> Owner's Address 4301 t�(/L�t� �t/ fr r10 AP Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � <br /> JOB ADDRESS '7 /C C� r'C� l,- 1 LO/T## <br /> SUBDIVISION <br /> nrf <br /> G�(% pi PARCEL ID# 'T at&_ r_7�q 0 —06 V v _V'0007 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> ADIXALT REPAIR CON R e SIGN = = DEMOLISH INSTALL <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK a <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> CCi E'CCCCC"CC"CCY-CCCCCC-CCCC"CCCCCCCCCCCE.CCCCCCECCC"C CC CCCCCEC'CCCCCE CCCCCr <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> [: T5LUMBING $1 Onlir ,&) <br /> =MECHANICAL $/ 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 /> r <br /> Address License# <br /> PLUMBER COMPANY 't 1/vt" 1 <br /> SIGNATURE ( REG/ISTERED ry7 Y/N FEE CURREN Y(N <br /> Address �• J �9 L �! 1 License# C U l <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ■!a!■!!■a!t!!aa!!alaaaa !!!laaallallad»if!!!!laolfai!!.!�!!!E!!a!!!all <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,Stornwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Storrmwater 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 Attomey(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 />