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/ <br /> 813-780-0020 City of Zephyrhills Permit Application I!�p r l7' Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name J % 1. (�� �� Owner Phone Number <br /> Owner's Address 5^(D r/A tLA 5 I4LS rL3 vI Owner Phone.Number <br /> Fee Simple Titleholder Name I t�k C�` Owner Phone Number <br /> Fee Simple Titleholder Address 61.g 1 /(p$r <br /> JOB ADDRESS (o'/.2 1, 16� 3S-191-a— LOT# <br /> SUBDIVISION PARCEL ID# C// <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED e NEW.CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER . <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK IAA V <br /> BUILDING SIZE SQ FOOTAGE o HEIGHT <br /> 14 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING <br /> O <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0. SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ' NO;• : <br /> . \ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N' CURRE� Y'./,,N :•; :,. <br /> Address License#1- <br /> ELECTRICIAN COMPANY <br /> SIGNATURit REGISTERED I Y/ N, . . F.EE CURREA Y/N <br /> Address License <br /> RLUMBER COMPANY je / A��t2 L�ONy�Qi/ o�e c .Q✓i <br /> SIGNATURE REGISTI RED Y/ N. FEE CURREN Y 7 N <br /> Address 30��fim(r�e /�✓� . "License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N''' FEE CURREN ) /N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE 1 REGISTERED Y/ N, FEE CURREN <br /> t <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.;,(N,C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizirig same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers "ge.,Vpgrades,A/C.---• Fences,(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.:needs.ROW., .. "`" <br />