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813-780-0020 City of Zephyrhills.Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact <br /> for Permitting. <br /> Owner's Name OwnerPhone Number <br /> 3 23 1 a e� <br /> Owner's Address : I wner:Phone•Number <br /> Fee Simple Titleholder Name" • Owner Phone7Number " <br /> Fee Simple Titleholder Address" `( r <br /> JOB ADDRESS: ?22 V y �t 11 Z LOT# <br /> SUBDIVISION Owe 1k PARCEL ID# k I �- _ S Wo d $ <br /> (OBTAINED-FROM PROPERTY TAX"NOTICE)_ <br /> WORK PROPOSED NEW CONSTR, ADD/ALT = SIGN Q 0 DEMOLISH <br /> B INSTALL e "REPAIR. <br /> PROPOSED USE. Q. SFR Q." COMM 0 OTHER <br /> TYPE-OF:CONSTRUCTION BLOCK FRAME 0: STEEL" Q <br /> DESCRIPTION.OF WORK 1 `� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ' <br /> 1. <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> t� <br /> =ELECTRICAL. $ AMP-SERVICE 0. PROGRESS,ENERGY, W:R.E.C. <br /> =PLUMBING • $ <br /> =MECHANICAL $ VALUATION"OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY;Q OTHER <br /> FINISHED°FLOOR ELEVATIONS' FLOOD ZONE AREA =YES NO <br /> - t <br /> :BUILDER COMPANY. R <br /> SIGNATURE 'REGISTERED • /".N s. FEE CURREh' " ,,Y .N <br /> Address:" h .` 1 3 �. License.# 1�. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE[`.. <br /> Address License# <br /> PLUMBER. COMPANY <br /> ,SIGNATURE REGISTERED Y/ N": I FEE;CURREN Y/W`, <br /> Address "License#' <br /> MECHANICAL 'COM PANY. <br /> SIGNATURE, f "REGISTERED Y'/ N:." FEE CURREN Y'/.N. " <br /> Address.. . License# <br /> OTHER" COMPANY ; <br /> SIGNATURE REGISTERED I .Y4•N FEE.CURREh" <br /> Address:_ _ License# <br /> RESIDENTIAL Attach"(2"):PIof.Flans-,,2' sets of.Build(ng,Plans;,(1)set,of;E•nergy_Forms;,;R,.70 VW�Permit-for.n'Pw <br /> -construction, <br /> Minimum ten`00)`workino-days:aftersubinktal"date: Required'onsite Construction.Plans,Stor nwater-Plansw/Silt Fence installed,- <br /> Sanitary Facilities&1 dumpster,.Site Work'Permit for sub divisionsflarge projects <br /> COMMERCIAL Attach(2),.complete sets of Building Plans plus'"a•Life:Safety,,Paoe;,;(1)set of Energy.Form s.:R-O=W Permit for.new construction.: <br /> Minimum ten'(.1.0):working:days after-.submittal:date' _R,i "'d.onsite,Construction`Plans;.-Stormwater":Plans.w(Silt:Fence"installed, <br /> Sanitary Facilities&'t dumpster:SiteWork"Permitifor all"new projects:All'.commercial requirements must meet compliance. <br /> SIGN PERMIT Attach".(2)',sets'6f_Engineered:Plans: <br /> ****PROPERTY'SURVEY_requited"for"all.NEW-construction. <br /> ---------------- <br /> 'Directions:". <br /> Fill out application completely. <br /> Owner&Contractonsign 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-tie 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(Pibt/Survey/Footage) <br /> Driveways-Not over Counterif on public roadways..needs ROW <br />