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813-780-0020 City of Zephyrhills,Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 759 — <br /> fal[!�[[[. ![_[[saaaaasualus . <br /> Owner's Name City.Of Zephyerhills owner Phone Number 813-780-0000 . <br /> Owner's Address 5335 8th Street owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7470 GaIJ BOule.Vard' LOT# <br /> SUBDIVISION PARCEL ID# <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> .1200 <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS' = ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Highway Safety Devices <br /> SIGNATURE REGISTERED Y/N FEE CURREN ' Y/N. - <br /> Addres.s _Ah:Hnmey Road Tama FL 33610 License# EC0002114. <br /> ELECTRICIAN COMPANY Highway Safety Devices. <br /> SIGNATURE REGISTEREo Y/N FEE wRREN Y/N <br /> Address s480.Hamey Road;Tampa,FL 33610 license# EC0002114 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN .. ILL <br /> Address License# <br /> MECHANICAL COMPANY <br /> 'SIGNATURE REGISTERED - Y/N FEE CURREN Y/N - <br /> Address License# <br /> r <br /> OTHER COMPANY <br /> SIGNATURE RE6ISTERED •Y'/N• -FEE CURREN Y/N' -. <br /> Address License# <br /> [fi.laI IK1la gas <br /> I[[f,!aaga4.1atotal[■■1[If[a[[IIIiaa-[1!■!.[1[[la111'1 a a a2-1aIaitI <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 s6bdivisionsllarge 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,Stornwater 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(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />