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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> t <br /> Building Department <br /> Date Received /—� Phone Contact for Permitting <br /> `J <br /> Owner's Name p r Gt- Owner Phone Number <br /> Owner's Address ! ��Own hone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address n,,``N// �j �J a <br /> JOB ADDRESS v l.Le r / S / ` � LOT# <br /> SUBDIVISION PARCEL ID# G �1/�D J� 00000'— <br /> ti (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> .WORK PROPOSED R <br /> INSTALL REPAIR <br /> °,;;,PROPOSED USE = SFR = COMM = OTHER <br /> k:.TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> -,DESCRIPTION OF WORK D ro, <br /> V ILDING SIZE l � SQ FOOTAGE HEIGHT O <br /> :p .. .. . . . . . . . . . . . . .. . . . . . ..r9r1r1r1" . . . . . . . . . . . . . . . . . <br /> =BUILDING $ 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 /> v� <br /> BUILDER COMPANY lr l /G er BD A LL6, / .. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N X <br /> Address ( d/1! J 3��3 License# 11{/////�` <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE• REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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/Silt Fence installed, <br /> Sanitary,Facilities&,1 dumpstercSite Work-'Permit for subdivisionsAarge projects <br /> COMMERCIAL At(aah`';(2)�niplete sets QfBdilding,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 /> . . . . . . 9 . . . . . . . . . . . . . . . . . ... ._. . . . . . <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />