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813-780-0020 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received 3 — Phone Contact for Permitting ) - <br /> E l[[E[[E /� C <br /> Owner's Name }/ t A Q�'/� Owner Phone Number <br /> Owner's Address Zo G Owner Phone Number <br /> Aq'tA.3 <br /> Fee Simple Titleholder Name if. G q� Owner Phone Number <br /> Fee Simple Titleholder Address re �z0 /� (�/ h i ✓` /�. eJ`Z 0 <br /> JOB ADDRESS ZO ,�L,OTTy#�� <br /> SUBDIVISION PARCEL 1. .2b-Z 1��5�'�6JV��-ZL0;0rP <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STTEEELL _ <br /> DESCRIPTION OF WORK A r�' �`6 �f77�1� 6A6 - 1 � <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> T�><C�rLT><CCC><CL CL-><CCC <br /> ]IBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ /I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/r4 FEE CURREN I YIN <br /> Address I 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 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> 11II19aIaaIIIIIIIIIIlillll191191aIIIIaaaa911IIIIIIIa91111l1111Ia91aI <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;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 subdivisionsllarge 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,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.(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 PERMITTNG (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 />