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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> r Building Department <br /> Date Received 'a+ Phone Contact for Permitting - <br /> Owner's Name Owner Phone Number '913 -35J -777 <br /> Owner's Address a a, fh SIreG Owner Phone Number <br /> Fee Simple Titleholder Name —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �I� i T"% 1e_QhV e ^L, LOT# <br /> SUBDIVISION F_ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q F_PCix=,/ <br /> BLOCK rQ FRAME J Q STEEL 0 <br /> DESCRIPTION OF WORK T 3c) )C r o <br /> BUILDING SIZE I _ I SO FOOTAGE -t.�t HEIGHT <br /> ( - BUILDING $ 2— 3?,. Q2+ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION MECHANICAL INSTALLATION l a <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> j� . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER �4 /11�f _ COMPANY rf r✓, O�/h 1r/ <br /> SIGNATURE. / r ( REGISTERED Y/ N FEE CURREN LYLN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Ly L NJ FEE CURREN <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Licerise# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK LYLN <br /> Address 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 /> ■ . . ■ ■ ■ .■ ■ ■ ..■ ■ ■ . ■ . . . ■ .. r. ■ ■ . ■ ■ . ■ . . ■ . . ■ . . . ■ . . . ■ . . ■ . . ■ . . . . . . ■ . . . . . . . . . ■ ■ . <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />