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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting _ <br /> !aa9aaaa1 9 4119R.541 <br /> Owners Name ck\A cA h Owner Phone Number <br /> Owner's Address o I ,�, � (� Owner Phone Number <br /> Fee Simple Titleholder Name c //1\/\ Owner Phone Number <br /> Fee Simple Titleholder Address V'—0 -(•' <br /> JOB ADDRESS 02Cat h V i 7 LOT# � <br /> ? <br /> SUBDIVISION ( PARCEL ID# 1 2 —L(1—2 f V U3 U al U U U J 3 C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Qyy FRAME = STEEL = <br /> DESCRIPTION OF WORK ��—�V�T' ( —1 Im `�R e Z I <br /> BUILDING SIZE SO FOOTAGE HEIGHT FL, 5-Le �-O lc( <br /> .;;;;; C";;+CC;;;;(.;;;;;;;'1;;;;;;i.';t;;;6;;;;�;;rLILIL;;i."L;;;;;';;;;;;;'L R;IL I" <br /> UILDING >U VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ r /�V A <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> BUILDER' ," COMPANY J 07 C v ro V F <br /> SIGN$1T6F Ems- / REGISTERED Y/N FEE CURREN Y/2N <br /> Address I�0 G,lrA 1� License# CCC 133 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/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 License# <br /> i.24'11111 N'T's.i.i i ti#i[_>r;I d!cl W 11*11,11■=.s:i.2 It.i_9 IF a 1f t.i3 <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 /> 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(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 />