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813-780-0020 City of Zephyrhills Permit Application PQ'V 'yv 9 Fax 813-780-0021 <br /> r <br /> Building Department <br /> Date Received 2 S 2 Phone Contact for Permitting <br /> Owner's Name /r/jQl 5.1-tfiL 5Z Z L eo e—��2 Owner Phone Number s- �� Q$/ <br /> Owner's Address / // / u h�c��� L7' j7' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �! v�� �� LT VA,0 E <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B 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 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = WA.E.C. <br /> =PLUMBING <br /> 41 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> h, <br /> s. =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED. Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N 9 FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address . License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLL N <br /> Address I License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsflarge 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 /> ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ._. .—. . . 1— <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(Plot/Survey/Footage) <br /> t <br /> Driveways-Not over Counter if on pUbliCrb6dwaystmeeds•ROW <br /> ,.1'�i•^^..f•..-,.iG:_.Li .. .171 it"Ii E+G:•i'G!i fji; ; -'-'--, ..., _ > -' ,.. ..�.'r'^.. c <br />