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813-780-0020 City of Zephyrhills Permit Application Fa*813.780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittingg <br /> tilltEi[F ` 1IliI <br /> Owner's Name J OS' '(r` <br /> ! 1 O Y Owner Phone Number d ^y G4 <br /> Owner's Address 641149 AGWA1c -tx- zef 1l w 5 3 ZOwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 16444 N&41e- -tJr. -.t h rhi IS :?3541— LOT# <br /> SUBDIVISION S-,\\Kf 00" 'J%11 PARCEL ID# G 3^Zl9 2I^0 Q 0—ow —00TO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK IZEpnove a A-A $ItiD S/-,ceq l ace w*GArf ctmW Ict sbi (eS <br /> BUILDING SIZE SQFOOTAGE Zt}tW HEIGHT <br /> =BUILDING $ ZI' O�J VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ O `+ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> FL!0%Lq-RZ(o / <br /> $ ( <br /> FLl �1��&, R3 /V11 v• <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER [f/ ✓� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> XBUILDER COMPANY I(i C. <br /> SIGNATURE REGISTERED Y/N FEE CURREN I YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y I N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> I11aIa1.1tt1I_tlltltll'11.1IaClifIaaIII11.1ItI!{[.E1141I'sI1919-11.BIIEt!\l-11aI If <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/Sift 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,Stolmwater 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 /> 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(far 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 an public roadways..needs ROW <br />