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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 01621 <br /> EEE[EEE EEEEE <br /> Owner s Name er Phone umber 613 r 3-1 / 1 <br /> Owner's Address L091Q1 i i-AMV\ Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address^^ <br /> JOB ADDRESS Ug111 d r 1 to ht I I5 LOT# <br /> SUBDIVISION 1 { PARCEL ID# W "0q 10-Of— W&O 00-100 P CDq <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL a REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q/�JBLLOCCKK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ^ ^�Ot l�c��L j e <br /> BUILDING SIZE SO FOOTAGE 0 HEIGHT <br /> =BUILDING $ I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �u AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ / moCi <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - <br /> =GAS = ROOFING = SPECIALTY = OTHER top <br /> 'rj <br /> g � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO WC-7 9(// 9' 19 <br /> /-3/�1 z <br /> BUILDER 1�1J�1.[� JCOMPANY N L' I ViryN 1 11 J i r <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address {/ FL 33Ss7 License# C),5-U-4 at <br /> ELECTRICIAN ( 7r/� COMPANY <br /> SIGNATURE r/1 1 REGISTERED Y,/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER �,q COMPANY <br /> SIGNATURE T� REGISTERED Y/N FEE CURREN I Y/N <br /> i <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE iiA REGISTERED Y/N FEE CURREN Ly/N <br /> Address License# <br /> OTHER p COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN <br /> Address License# <br /> Jill!!l[!!,!1!!!.![l!![l!!1![!!l1!!!!!■ t!!!!!![!!!![!!![!!!!!!![!1[!!!1 <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 subdivisionsAarge 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,Stomtwater 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(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(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />