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818-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received J a.� phone Contact for Permitting <br /> Owner's Name I 1 r Owner Phone Number I^ /MR <br /> Owner's Address Q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� <br /> JOB ADDRESSAlwl ara! L 3 4OL LOT# a3 <br /> SUBDIVISION10M leiPARCEL ID# /V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE _• SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION =_ BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK ' a DKF03715 Kw <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> E,'CL,,"L,_;:'6";"�'.C"�C'�'>;C-¢"C"S`�' ICi'C'#`;` _ `;•'ICr <br /> =BUILDING :f ;, _$ j VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> q,U <br /> =PLUMBING $ >/1 <br /> MECHANICAL $ I�rO�.00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> •}i;16 V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> ::D C. <br /> ~ Address "' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE - REGISTERED Y/N FEE CURREN <br /> L':,'_Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE ' REGISTERED Y/N FEE CURREN Y/N <br /> 'Address License# <br /> MECHANICAL COMPANY ) jai i,16 <br /> "SIGNATURE �!!!///"""���" REGISTERED Y/N FEE CURREN /� Y/N <br /> Address11664D j kd <br /> 3gtpj 0 License# C W <br /> OTHER COMPANY <br /> S!GMTURE REGISTERED Y/N FEE CURREN Y/N <br /> ,..Address License# <br /> 4ti•tt1111!'t118-8aRil.illlt.t Its itt811111tl.>ttll.>tott'1ti2ltttlt�to128.11tAl.ti1 <br /> RESIP]ENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> err; 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 subdivisions/large projects <br /> fOMMERCIAL '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 /> M_ —PROPERTY SURVEY required for all NEW construction. <br /> ilirery�ions: <br /> Fill out application,completely.,',. <br /> Owner&Contractor sign back of application,notarized <br /> )' 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(Plot/Survey/Footage) <br /> i..`;yriveways-Nqt over Counter if on public roadways..needs ROW <br /> ra <br />