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813-780-0020 City of Zephyrhills Permit Application Fax-e13a80-0021 <br /> Building Department <br /> Date Received Phone Contact for Per �bt �`I� 1 — <br /> an11d Sam A (� @t#iSfl e I <br /> Owners Name P rov4s 1 i Owner Phone Number <br /> Owners Address eo Pbo)( 51aAdinOwner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Addresss�y <br /> JOB ADDRESS �IJ—�yL'� LOT# 1 �� <br /> SUBDIVISIONWvl ' CD PARCEL ID# 3J- a - a - odA b C � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR 8 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 Inew <br /> C 0-) a a Z I S� <br /> BUILDING SIZE SO FOOTAGE �' J g HEIGHT <br /> =BUILDING $ (4 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ s <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/N I FEE CURREN Y!N <br /> Address License'# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURFWN Y!N LJ <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY I PUS k(-Illr5 �) l <br /> SIGNATURE REGISTERED I YIN I FEE CURREN I Y/ <br /> Address v a'3 'RccY-S\/M C-1, License# C C C 133 C l <br /> #aAAA##$5 Ala# ##$#AaaAA!#AAllliA9lrlAaA#ti.A#x$IIE#!lAi111A?1AAS1fA#f!A#AA#a#,1SSt <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,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsaarge 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 Attomey(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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />