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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting 1( 11 17ril V RT"1................ ......rrrrrrm ....... ....37XCIXECC13=I <br /> Owner's Name to,A Owner Phone Number F&-,For- <br /> Owner's AddressFT574 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS o, LOT# <br /> SUBDIVISION st I PARCEL ID#10S--261-21-007o -0o600-01,?.6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK r! FRAME STEEL <br /> DESCRIPTION OF WORK &A Alf AIC 6 r 0- <br /> BUILDING SIZE drFOOTAGE= HEIGHT <br /> =BUILDING 1$2g16 Ll I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE, Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION A <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO, <br /> -BUILDER I COMPANY 1kd4e ..Py1C< , I <br /> SIGNATURE REGISTERED Y/-N,i--I; .-FEECURREt, <br /> Address SEEN S7C License# FW?3P1'S_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURit REGISTERED L J, FEE CURREN _T Y/N <br /> Address License'# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YI'N- FEE.dURRES <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly]_N J <br /> Address License# F <br /> I Hti I I I H I I I I I I I I I I I I I I I I I I I i I I 1 211.!1 1111111111111 2 1 i I*I I I I I I I I I I *-I I I I I I I I' I I I I I I I I I I I f I I I I I I I I <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/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge 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)workingdays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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 required for all NEW construction. <br /> ................. <br /> ........................... .. ... <br /> -`Directions:Fill out application completely. <br /> Owner&Contractorsign,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 Si3wers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewaysi-Not over Counter If on public roadways..needs ROW <br />