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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received 7 <br /> Phone Contact for Permitting <br /> 3;K3ZE3= <br /> Owner's Name _J D'u O� Owner Phone Number <br /> Ownees AddressIE23q* SL . aity '11k 33 a Owner Phone Number ',S7,3 9113-72-2 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address LOT# <br /> JOB ADDRESS 4S'2- SP"') S <br /> SUBDIVISION PARCEL IEW <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> A <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE tO SO FOOTAGE <br /> HEIGHTC9'L4!4* <br /> .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ®`BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F__1 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L�N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE' REGISTERED FEE CURREN LILN J <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# 1-7 <br /> OTHER COMPANY () <br /> SIGNATURE REGISTERED I FEE CURREN E4�K:T <br /> Address Z's 7 License# <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 /> 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 />