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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �J [ �7 7Date Received ?j phone Contact for Permitting �! 2 - ( � <br /> !!!!!!!!a l!!!l <br /> Owner's Name Owner Phone Number <br /> Owner's Address T�1 S�' ��� Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O cJ 11 4jp- LOT# <br /> SUBDIVISION I PARCEL ID# b a- 44—-i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 9- OI iA4,LkIcAbn X'lq 561alcipeno1c, Xlq M Ca ✓t S <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1PLECTRICAL Is 9 5 AMP SERVICE =--"PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �sva <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOa <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICI ; } COMPANY <br /> SIGNATUR� 1\ I REGISTERED Y/N FEE CURREN Y <br /> Address A d License# (mil i�cJ V <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> SEEN <br /> 1.[[[[[1.[1[[Real <br /> 1[.[-[11[!![ 1[1[.[[[[[[[8[1[.[[[[[[[[gat i[[[[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 subdivisionstlarge 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 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.(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(Pict/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />