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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> ..............rrrrrrrr ................. <br /> Owner's Name Gw�� Owner Phone Number <br /> Owner's Addressl 717) i 60-51tr Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS goy-Qf IRMO'aV LOT# <br /> SUBDIVISION Vu J0 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 1 V G k Q-A( t, //IS- <br /> V . _T'7E���BUILDING SIZE SQ FOOTAGE[ -HEIGHT <br /> =BUILDING I%Lto VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION- <br /> =GAS Q ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO, <br /> 7 <br /> I M i i i i i i i M 1 2 a M I I V i i i M a a N i N M I a i 2 M i i i i i i i M M i i 0 i i i i i 9 0 M i H11's 1 H+l 1 1 1 1 1 1 l 1 1 H 1 H 1-1 i 141 1 24 H+Nly I i i i <br /> ..BUILDER COMPANY &C:012 ' fie nCa. <br /> SIGNATURE REGISTERED Y-/,,N.--,, Y./N <br /> Address Ss Liq License# 9 S <br /> ELECTRICIAN <br /> COMPANY <br /> SIGNATURk REGISTERED .YJ N .. FEE CURREN <br /> Address LICense* F <br /> ZUMBER COMPANY. <br /> IGNATURE REGISTERED L N 'FEE P YRREN <br /> Address -L-16ense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y N."' FEE CURREN <br /> Address License J <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN <br /> Address 'License# <br /> f+l+ 11 H 11 H 1 H 1 2 1 i 11*H H H H HHHi 1 H <br /> RESIDENTIAL Attach, <br /> (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,Stormwatbr Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> :44 <br /> : <br /> -------------- <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 (copyof contract required) <br /> Reroofs if shingles Sbwers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Drivewayi-Not over Counter If on public roadways..needs ROW <br />