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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 Permitting — <br /> Owner's Name �� , i�Av '0* Owner Phone Number <br /> Owner's Address 3 9 1 l 5 oQA m; Owner Phone Number <br /> Fee Simple Titleholder Name Owner.Phone Number . <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 i i Q� w'" LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = _ DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE 0 SFR 0 Comm = OTHER <br /> TYPE OF CONSTRUCTION =. BLOCK = FRAME- = STEEL 0 <br /> DESCRIPTION OF WORK G� e,nc,b 2S 7 <br /> BUILDING SIZE F7 SQ FOOTAGE HEIGHT 6 C� <br /> =BUILDING $ /S20 Q d� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �Ta l <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/ v <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED'FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 1'l5-�"�� nC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address ��`�� License# �� 7� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LY/ N FEE CURREh. LLY/N <br /> Address License# <br /> P,LUMBER -COMPANY <br /> 'SIGNATURE REGISTERED Y/±!_J FEE CURREN LjLNLJ <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREM <br /> Address License#„ <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•deys after submittal date. Required onsiite,'Construction Plans,Stormwater'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 otEnergy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal;date. Required onsite,Construction Plans;.Stormwater Plans w/Sllt 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 requlred:for all NEW construction. <br /> Dlrectlons: <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />