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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> aacaa[aa � 1 [saal <br /> Owner's Name //iM//I Owner Phone Number pp/J <br /> Owners Address J` .7 M /J/WJ• U/f�ry- Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address / l <br /> JOB ADDRESS & , �w/T I" / LOT III <br /> SUBDIVISION !Jr It&' �/�/�S PARCEL ID# 03 0(p' —Q 0^(` W� UCV <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ✓Q2 FRAME = STEEL <br /> = <br /> DESCRIPTION OF WORK 1W LiGc Sl4b <br /> BUILDING SIZE SQ FOOTAGE - HEIGHT <br /> Ci'CC'tTt'�tCT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 0-51 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�No / <br /> =GAS = ROOFING 0 SPECIALTY = OTHER `� - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I�/�II <br /> BUILDER COMPANY ailc- <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address gig C,(4i_A- ' License# .SC4 1311'4911 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> a all <br /> -l-1:1-11![11l11l.1!!!E! 111.l11111al!!.[1!!!!1.!l."l [!talliglll1EaitIa&1-! <br /> tach(2)Plot Plans;(2)sets of n,RESIDENTIAL At Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructio <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 subdivisionsilarge 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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />