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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> - Building Department <br /> Date Received Phone Contact for Permitting — <br /> / Owner's Name , t. ti < Owner:PhonwNumber- <br /> Owner's Address 1 Owner-.Phone-Number <br /> Fee Simple TltleholderName` OwnerPhone`Number <br /> Fee Simple Titleholder Address <br /> JAB ADDRESS I tqL4 Y1.1 �— LOT# <br /> SUBDIVISION :;� PARCEL.ID# • — 1 ``0260"L 100 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED.. NEW..CONSTR ADD/ALT SIGN [� Q DEMOLISH <br /> e INSTALL 8 ..REPAIR., <br /> PROPOSED USE 0 SFR'• Q COMM 0. OTHER . <br /> TYPE OF'CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE S4 FOOTAGE HEIGHT <br /> =BUILDING $ _ VALUATION OF TOTAL CONSTRUCTION,. � <br /> [ELECTRICAL $ �2j�`' 1 AMP.SERVICE 60 PROGRESS.ENERGY Q W.R.E.C. <br /> =PLUMBING ($ 771 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT ON''- <br /> =GAS Q ROOFING ..$PECtALTY,,=. -OTHER . <br /> FINISHED FLOOR-ELEVATIONS' � 'FL••OODtZONEAREA =YES`'`. NOr <br /> � <br /> .BUILDER COMPANY :,_• ,. im>^3i wi•.`f:'.:>, r,: <br /> SIGNATURE 'REGISTERED: Y,/..N•` 'xr >FEE GU74 <br /> Rf}E(4. <br /> Address Li6ensed#,7� f <br /> ELECTRICIAN ..,COMPANY <br /> ... •, .j + L i <br /> SIGNATURE REGISTERED /.N: _ ;.r,d..FE.I',CURREtt, Y/N <br /> Address UG 1 br. <br /> RjLUMBER COMPANY <br /> <SIGNATURE REGISTERED Y'J N:''``r`'. 'FEE•CuRREN ':Y%N...•. <br /> Address 'xLi'cense#r <br /> MECHANICAL COMPANY <br /> SIGNATURE' REGISTERED r/ N T`,' .FEE cuRREN <br /> Address License#: <br /> OTHER. COMPANY <br /> IGNATURE x =REGISTERED. Y VN: FEE CURREN Y/N <br /> Address License.# <br /> RESIDENTIAL Attach'(?).Plot:Plans;.(2)aets:,of`Buildingi,Plans;�(1,);set of Energy For(ris;R�—M:Permit for new-construction, <br /> Minimum ten(10)workind days•after•submittal`date. Regiiired-onsitw,Construction'Plans,Stormwater Plans w/Silt Fence,iristalled,, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach,(2)complete sets of Building Plans plus a Life;Safet&age;-(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working;daXs.aftersubmittal;date:.Required;onsite,Construction Plans Stormwater Plans.w/.Silt Fence installed, <br /> Sanitary.Facilities&'I 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 Tequlred.for all•NEW construction. <br /> �I`Directlons: <br /> Fill out application completely. <br /> Owner S 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°(Pidt/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />