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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name Y l>J <br /> Owner Phone Number <br /> Owner's Address 1�Wr,,V W C�JJD(eac.) Owner Phone Number <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS NIS3 -"aymun hv­D�C (A. LOT III <br /> SUBDIVISION JA_1\(A(Jep PARCEL ID#Iaq—aW - al- DID-DOWO-a\.00D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> E-V a+iw <br /> DESCRIPTION OF WORK 110. <br /> BUILDING SIZE J SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . <br /> "BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> *PLUMBING MIDI 00 1 <br /> "MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> 7 J� <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO L)Lj <br /> - asimassi . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED YI N FEE CURREN <br /> Address —1 License# <br /> ELECTRICIAN N _� COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN <br /> Address License# [_ I <br /> PLUMBER COMPANY Memgfan lyrica±10y) <br /> SIGNATURE REGISTERED Y/ N FEE CURREN l (VIN <br /> Address I Li I I yte+' �i d License# I L13b_ (A 31 01 <br /> MECHANICAL COMPANY = <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN <br /> Address I License# F_ <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN <br /> Address License# F7 <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 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 /> 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement is required. <br /> (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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />