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813-78o-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ig , f 3 1�� <br /> Building Department <br /> Date Received Phone Contact for Permitting (v I ) 1+r , <br /> [s OQ,� ` /- <br /> Owner's Name I r I'e owner Phone Numb O! !W 1-5 1�tU <br /> �t r r MN <br /> Owners Address es 3 rd•A-V e_C-• d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 906 LUrn heZ frh il3 }aC LOT# <br /> SUBDIVISION I Vallkuda LuPARCEL ID# <br /> �J/ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR I VI ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Q S UlQ I I Q 5 I V:N <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =FLUMBING S <br /> MktECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURr REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY 11 ne GQS C_l <br /> SIGNATURE q(�) REGISTERED Y/ N F E CURREN Y/N�7 r r <br /> Address / till Rd Zh(11 <br /> 5 -3_ 11 J License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License# <br /> Illttlttttltltttttttlttllttltttttlltttltllllttttlltlllttlltltlltttt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stor mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionMarge 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 dumpster.Site Woik 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 /> Directio ns:, <br /> Fill oui 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 publid'roadway's.'needs R01N c <br />