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813-780-0020 City of Zephyrhills Permit Application • Fax-813-780-0021 <br /> Building Department s/ ��J,r„•�/��a <br /> Date Received Phone Contact for Permitting <br /> .I-1T1TT 13 p � C � tI n amass- <br /> Owner's Name 1kS ~r`C(- l�5 L�.C Owner Phone Number <br /> _ f♦'Z- <br /> Owner's Address ZZ •^- rner Phone Number <br /> Fee Simple Titleholder Name /'T I Owner Phone Number ,� <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS p V 1 S Q IIL, LOT# <br /> SUBDIVISION PARCEL ID# "'Z - VI V ('9 UV vV <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW <br /> CONSTR ALL B REPAIR SIGN = = DEMOLISH <br /> INSPROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = 13LO�C�K/� Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �- (JIJT. y F 1 3 12-pi-}-(,h <br /> + nn <br /> BUILDING SIZE SQ FOOTAGE 1 V HEIGHT WN(&P <br /> C;L;;;;;'w:;;;l11.111,11L;;7.;i.;;;;R(;;;;;;;;lS;';'C;;l;;;;;;;;;L;;t;t )`V\,ft e'(lay l�I�fWrt <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION J <br /> DOc�. FL <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. C.O V-17A r,t f ttJ <br /> =PLUMBING $ FL, a s33-fay <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YE l/G''S NO <br /> BUILDER COMPANY 5C ro UP <br /> SIGNATURE 1 ^� REGISTERED Y/N FEE CURREN Y/N <br /> Address I�� 1 (/� �� � License# C(f 13a SFs a ZlI <br /> - ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> Ar1TI:&IIaIIt's'sa1&I1.1-11.I.1;II Ila1,1aXXIa as-aaIasaxl'sI1;1.12.11.1:1.1:11aI.1,1l1.1A11.1 <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 Fortes.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 /> 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 />