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813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0.0021 <br /> Building Department <br /> `Date Received Phone Contact for Permitting ( 13 , p a -5 01 <br /> owners Name Gr E I i Z A bei Owner Phone Number �ro_, <br /> Owners Address W M Norlh Dr Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 1)f t,. <br /> LOT# /� <br /> SUBDIVISION �J PARCEL ID# o 3-QW.a -01 0 -0O O'V <br /> (OSTAJNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW COf LSTR ADDlALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION QQQ GG BLOCK = FRAME = STEEL ^_ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING s VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING s <br /> MECHANICAL s VALUATION OF MECHANICAL INSTALLATION / <br /> =CAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURi_ REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 11 Y/ N I FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 11 Y/ N FEE CURREN I TIN <br /> Address License# <br /> MECHANICAL COMPANY r Go 5 e- c <br /> SIGNATURE REGISTERED : Y/ N I FEd CURREI, I Y/N <br /> Address l license# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt Y/N <br /> Address License# <br /> 111111111111111111111111111111111111111111111111111111111111,1111111 <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 dumpster,Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL, Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Consbuction Plans,Stornwater Plans vi!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site,Work Permit forall 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 ou:application completely. <br /> Owner&Contractor'sign back of application,notarized •. i". ' - ;.., <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.AlC-..,sFences(PloUSurvey/Footage).,. ... <br /> Driveways-Not over Counter'if on publigroadways..needs•Row. ;~; <br /> r: <br /> •- .. .jN. ..` .. .. -. ,. "". 1. <br />