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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> - r <br /> Date Received Phone Contact for Permitting <br /> Owner's Name M i ton c Owner Phone Number D / <br /> Owner's Address �C7 3'4--- 14VK, ? 1, ,-I,rl1J- L Owner Phone Number <br /> Fee Simple Titleholder Name 3 a Owner Phone Number <br /> r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 9 r 33 S /l�/'� 2 e e�l r�.?lQ �L 3 3S ya LOT# <br /> SUBDIVISION PARCEL ID# - O 3 _ O J_ap d a (� O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMW = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL= = <br /> DESCRIPTION OF WORK P e,°h I �' r s�7�n <br /> BUILDING SIZE E SQ FOOTAGE HEIGHT <br /> BUILDING $ '�s VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �� <br /> l <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �� COMPANY '^0^ <br /> SIGNATURE REGISTERED / N FEE CURREN N <br /> Address "C/� S�l rer-Gh.r^� r �� L License# �GC �-33 <br /> ELECTRICIAN COMPANY <br /> SIGNATUR@ REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> :PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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;(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(for the owner)would be someone with notarized letter from owner authorizing same <br /> E COUNTER PERMITTING (copy of contract required) <br /> L\Reroofs shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> eways-Not over Counter if on public roadways..needs ROW <br />