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813-780-0020 City of Zephyrhills Permit Application Fox-813-780-0021 /V Ll <br /> Building Department (Pif 4-41-9 <br /> Date Aecelved Phone Contact for Permitting <br /> stall-11,111111 1 0 N F I F 1941,44146aamen..0 -M"-- <br /> Owner's Name t N Owner Phone Number <br /> Owner's Address ful Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> Nqo OU0g7aBo <br /> SUBDIVISION (Aft, PARCEL ID# - - o7- <br /> (OBTAINED FR15M PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK OL&-a-5 -ffio <br /> "P <br /> BUILDING SIZE SO FOOTAGW05 HEIGHT Wtmao <br /> 4.r�L L-L-L <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL IS &0_0 Iq AMP SERVICE Q PROGRESS ENERGY 0 W.R.I-C. <br /> =PLUMBING 1$ -1 <br /> =MECHANICAL $7CF) 0 U.� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY F OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L_XLN J <br /> Address License# F 7 <br /> ELECTRICIAN COMPANY Van <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN YIN <br /> Address License#F_ 771 <br /> MECHANICAL COMPANY <br /> SIGNATUR REGISTERED N FEE CURREN ' N-Y/N <br /> Address sna54i�, _ owe- License#nq(W13 _M I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y i N <br /> Address -1 License# I <br /> a 19.19,12.1 11 a 1 9 1 a 1,111 1 a I a 9 11114 ff.11,1111119-9 a <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsftrge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW 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&I clumpster.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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />