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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permitting — <br /> a a I a e a a a 1 a a a e <br /> Owner's Name jrC{�p , G✓1 A- G fn Owner Phone Number l ��V <br /> Owners Address ✓0 // D-i / Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Addrress I <br /> d ? rt <br /> JOB ADDRESS t� I e G, JI ^^knits F J3s!/g LOT# <br /> SUBDIVISION G 0=0 10,5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK �. n G k o S U" <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -a-rcrc ea c�srrt s� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q'nW.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ ` IA/ / oo VALUATION OF MECHANICAL INSTALLATION C yl l <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN TIN <br /> Address License\# <br /> MECHANICAL COMPANY qY1 Gn d A;r <br /> SIGNATURE yl_� <br /> /,, }y�� REGISTERED Y/ FEE CURB- /�Y/N <br /> Address 'J$0 �C?r ,-# 0 �G t FC 3G« License#; CO< � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LILN <br /> Address License# <br /> [-[ [![[[I <br /> RESIDENTIAL Attach(1)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 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,Stormwater Plans w/Silt Fence installed, <br /> g, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All comm,ercial,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.(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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />