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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 Permittin — Y7-3t�ry7(S <br /> Bull 11111- <br /> Owner's Name �y I t I IF l Owner Phone Number 3��—a(P - <br /> � 1 �✓1+W <br /> Owner's Address � J1� <br /> ZOwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address G / (ram <br /> JOB ADDRESS bS S -T 1 ra Y. LOT# <br /> SUBDIVISION l( 1)e�Y "' PARCEL ID# D4 -al.,-al-ooao- D()bcx--,J-coo I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 Comm = OTHER w <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK +�0.v- <br /> 1��LYVt ( vvi � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT 15� <br /> T7"1 1 1'7 1 1 11 1 1"'1 1 1 1 1 IT7 1 1 1 1 1'7 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 . . . . . . . . . . <br /> =BUILDING $ �D _ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREK <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREK Y/N <br /> Address I License# <br /> PLUMBER 7 COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREK LZIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE_C5 Y/N <br /> Address License# <br /> OTHER COMPANY 0LL S � <br /> SIGNATUR q¢ REGISTERED -11J, N FEE CUR EA JLY/N <br /> Address 114I r {O I)I ILQ 41t License# �� 6yj p01 q J <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111 <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/Sift 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 now 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. (AIC 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 Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> I <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br /> i <br /> 3 <br /> P <br />