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e13-780-0020 City of Zephyrhills Permit Application Fax-B1a-790-0021 <br /> ' Building Department <br /> Date Received / <br /> Phone Contact for Permittingg ( <br /> [lt [[[[[ kt!!t _ 1 <br /> Owner's Name - �'�G OwnerPhoneNumber � (SQ ` <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Q ` <br /> JOB ADDRESS 7+ <br /> SUBDIVISION PARCEL ID# ZA.D '. v'Q J 1 <br /> (OBTAINED FROM PROPERTY TAX N077CEI <br /> WORK PROPOSED e NEWCONSTR� ADDIALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK Y1 <br /> BUILDING SIZE SO FOOTAGE�. HEIGHT <br /> •Iccr�c'e-rzs't'�e'cC_c'c'+r'+c�res�ee�'rccr�'try'Icccc`+r-e'csti-cs;ire'rc�rt'ie�ccre-c'Ics'ctic-e�-tccsca <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $`R O AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING I., <br /> 1 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO / 7 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> ELECTRIC AN` ~- _ _ _ _-�_� OMPANY <br /> SIGNATURE (REGGI�ISTERED YIN FEE CURREN YIN <br /> Address �i l t�[_" Q License#" <br /> PLUMBER COMPANY �- <br /> SIGNATURE REGISTERED 1. YIN FEE CURREN LXLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN 17Y—IN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YTN FEE CURREN Y'/N <br /> Address License# <br /> tf.Liii!!!EI(!!itliii!ltlt6ltiiliiti!lfii!lr.iifE'iiilliitiit,tlililltitt <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 onsile,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislonstlarge 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 dumpsler.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 letterfrom 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 />