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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3 � G/ Phone Contact for Permitting - <br /> ![!!t[aa l!! ! <br /> Owners Name TJ I cr 96i Ce.. Owner Phone Num ¢S <br /> Owners Address 1107 <br /> kre'kf"broake LN Owner Phone Number q0t-31/p- SY 6 U <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address L' <br /> JOB ADDRESS 3)0 I«�S�t/`� �� �� L N LOT# I ll G <br /> 77 SUBDIVISION 1�1 erg �1/C} PARCEL IDIR <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q7 �B/LOC�K/ Q FRAME � STEEL <br /> /` Q <br /> DESCRIPTION OF WORK 3 I L conCr S)C( Poc ea+. O <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> -Ir >F X- <br /> =BUILDING $ I O O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ L AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ j/J ��� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY nC_ 0 n <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y I N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> !!!!!!!!!! !! !!I!I!SlI.S-I!!.11aIaIIIII!!!IIIISISlIll!!! [!!!I1 <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,Stornwater 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 /> - <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 />