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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �} 7 <br /> Date Received 91 a'-7�Phone Contact for Permitting d 7 <br /> r ry�� <br /> Owners Name C�Hl WS Owner Phone Number <br /> Owner's Address 30'8 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �57JOB ADDRESS I --J-O 1-p S • LOOT# <br /> SUBDIVISION f T �—{J '/{jr PARCEL ID# /910c!0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN Q Q DEMOLISH <br /> TALL REPAIR <br /> PROPOSED USE = R Q COMM = OTHER <br /> TYPE OF CONSTRUCTION p= BLOCK /0 FRAME = STEEL Q q <br /> DESCRIPTION OF WORK G D C9(i/`CG la `�oa,- / 71 6, <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> TITrITIT�IT1"1"I�r�PT�ITITrr"r ITrTrrPP�PITtT1�IT1'TYf°PI'9TITITr� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 7 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER '/�� COMPANY rLOGfS/B40 Q8 eO`elI 'e <br /> SIGNATURE 1 REGISTERED Y/ N FEE CURRRENS Y/N C <br /> Address 373 a6/HOh,A-,d -V I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LI.LN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111111I111 <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 dale. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> 1-1--1-1--1.1-6I+I—F-I—la-1-4d—I—F-1-4.1—.I--.1--FI-1--FI--1—�1--1—. . . . . <br /> 1-1-�f—I--Ff�-1-1-1--t-1—i—I— <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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />