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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received —7_,q_ 02f) _ <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> Owner's Address Ls, L 335q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,—! ' "- ! LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM Q OTHER . <br /> TYPE OF CONSTRUCTION [►� BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK � A, 67 r V' `f' 0 r\- <br /> BUILDING SIZE 2e X23 SO FOOTAGE S HEIGHT �I <br /> =BUILDING $ Gad VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING Is S©0 <br /> I <br /> =MECHANICAL S �Q VALUATION OF MECHANICAL INSTALLATION} '` <br /> =GAS = ROOFING Q.. SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE�AREA =YES"'' NO <br /> BUILDER COMPANY D wt <br /> SIGNATURE REGISTERED Y/.N;` FEE CURREN <br /> Address License,# <br /> All <br /> ELECTRICIAN COMPANY <br /> SIGNATURE GISTERED Y/ N.,. :.,_,'FEE C.URREh Y/N <br /> Address License'# <br /> PLUMBER COMPANY Ql Gt/ r <br /> -SIGNATURE ������ ISTE�RED Y/'N. FEE CURREN Y%N <br /> Address / `Licerise#- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N"''' FEE CURREN Y/N <br /> Address License# <br /> OTHER <br /> SIGNATURE4d_zwiii� f7IRFG1STERED Y/ N. FEE CURREN Y/N <br /> Address 6- License# <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;-(I)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. (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) <br /> Reroofs if shingles "ServicetUpgrad"-NC,"' "Fences(Plot/Survey/Footage) <br /> Driveways-Not oveft Counter if on'public road ways..needs,ROW 4 <br />