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813-780-0020 City of Zephyrhills Permit Application Fax-81 -780-UQ21 F <br /> Building Department '1�7 <br /> Date Received3 —&�� <br /> Phone Contact for Permitting - <br /> ` 1EIEIEIEL "lE3EI <br /> Owners Name Q 1 1 �y�r Owner Phone Number <br /> Owners Address `� QQa� Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address n— <br /> JOB ADDRESS 3 / O� �C'arG�9� W �y[ h �• LOT# <br /> SUBDIVISION cA C ARCELID# 2.2"Z(- 0270•00060 - or4a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION ® BLOC/K�,, = FRAME �+= STEEL = / <br /> DESCRIPTION OF WORK 1(C �}¢ KC Poi—S-2-c— WswWAAZ C Fj„ -2-6 ,3 <br /> r <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> :.a:'X.R.'gF.'€x. ..,.. .. ..E..,.. ., ..�. ..L. ..�;..;..g..€'a£'3E.X$€�C. ..{.,{..{. ...E.�..�[:Z"+F'gr ID[.'W"x'ZX.�UIVL_Xlr '..w xx' x IL 1E.I <br /> f5glBUILDING $. Sbo VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN I 09N <br /> Address g V a&j N License# <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 I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> I first 3111 first's l 2`11111.11.I.II.III7fiE1`I l3II:If.E'l all I12AI.1.III <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 /> Dlrectlons: <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 />