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813-780-01.120 City of Zephyrhills Permit Application Fax-B13-781)-OU21 <br /> Building Department <br /> Date Received -, <br /> P hone Contact for Permi tting (�`3 ) <br /> 11atIa:a ` carat <br /> Owner's Name t Owner Phone Number7_k�J <br /> Owner's Address - j' (� G( �(!• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C / y t Y(R (/ LOT# <br /> SUBDIVISION tl PARCEL ID# (% VpPV_ <br /> i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM E�OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME �/= STEEL = <br /> DESCRIPTION OF WORK r 1� U � //�x/t��� ��C/}'>�/� jt Kx � <br /> BUILDING SIZE SQ FOOTAGE (� HEIGHT P/Qbv S a_kll <br /> C C L C C C C L C E C;I Z i i L L x-E C L C L C C C C C C C L C C C C C C C C C C C C C C L C C C C C C C C C C C L L C C C C <br /> UILDING 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (� AMP SERVICE = PROGRESS ENERGY = W.RJ.C. <br /> =PLUMBING $ /� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - -- - - - - - - - <br /> BUILDER COMPANY /"� YV �Ci"� s <br /> SIGNATURE REGISTERED IN FEE CURREN Y/N <br /> Address g wx Liconse# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address License It <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> IiIIItIIIII .IIIiIIIaIIIii [ IIIIIIIIIIaIIIIIIIaIIIIIIaIIIIIIIIIIIIIIII; <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 dale.Required onsile,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler;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 onsile,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(far 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />