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813-700-0020 . City of Zephyfhills Permit Application:: Fax-al3wao-0021 <br /> sw <br /> :Building Department <br /> artment <br /> i <br /> Date Received. <br /> Phone Contact for Permit ing. ) <br /> aa■■■ta! ■aaa_a — <br /> O <br /> Owners Name Omer Phone Number p I3 7-S? <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number. <br /> Fee Simple Titleholder Address= <br /> JOB ADDRESS :, �(Q 'th 33�la :. LOT III <br /> SUBDIVISION PARCEL ID# ��� 7AQ�. Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE)' -' <br /> WORK PROPOSED .. B New cONSTR ADD/ALT = SIGN DEMOLISH: <br /> -INSTALL= REPAIR = <br /> 0 <br /> PROPOSED USE <br /> Q,. SFR- 0. COMM OTHER. <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL :Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE - HEIGHT .. . <br /> BUILDING ' <br /> C�fj•OO" VALUATION OF TOTAL CONSTRUCTION <br /> vv <br /> =ELECTRICAL. $ AMP SERVICE PROGRESS ENERGY <br /> ....=PLUMBING $:. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS= 0 ROOFING SPECIALTY = OTHER <br /> '. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> a IF-a IF-i <br /> BUILDER COMPANY <br /> SIGNATURE :: REGISTERED I Y/N FEE CURREN Y/N <br /> Address.. . . License# i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ::REGISTERED I :Y/N" FEE CURREN <br /> Address. . <br /> License# <br /> PLUMBER' COMPANYqs <br /> SIGNATURE - REGISTERED - Y/N FEE CURREN "�' Y/N <br /> Address. - License# <br /> MECHANICAL = COMPANY <br /> SIGNATURE REGISTERED ."Y/N FEE CURREN I .Y/N" - - . <br /> Address <br /> icense# <br /> OTHER COMPANY. <br /> SIGNATURE - :: REGISTERED `` ••�I`Y FEE CURREn 11 Y/N .. <br /> Address �Q Y �(+37�4a -License# (Z <br /> a Ivan III its IovSOTS')flitsaIN-i1:11ava1I0.a-iianall5/l50'avaif12.12191ilaa1to-all . <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,Stormw_ater.Plarjs w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons0arge projects <br /> COMMERCIAL Attach-(2)complete sets of Building Plans plus a Llfe Safety Page;(1)sat 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 Fenceinstalled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al 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 57500) <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 />