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19 <br /> 813-780-0020 City of Zephyrhills Permit Appli 1►W813-780-0021 <br /> Building Department 11 <br /> Date Received jj Phone Contact for Permitting <br /> Owner's Name - ! Owner Phone Number t g� i A/V* <br /> Owner's Address t49 t7 q Owner Phone Number �f Y <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .7 LOT# <br /> SUBDIVISION PARCELID# •of '� '(/���' b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADDIALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL /Q f <br /> DESCRIPTION OF WORK ollGt (/ t - J Ax <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1($ AMP SERVICE C] PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> XMECHANICAL 1$3 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREh Y 1 N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address p License# <br /> MECHANICAL COMPANY <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN Y N <br /> Address 1 License# <br /> OTHER COMPANY = ` <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License#�� I <br /> I111111111lItll [ ! [ flllt [ t [ tttt [ Lit / t1 / 1iI11lII / 1111 [ Ilil [ ItI [ [ I [ IIt <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/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fors.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 /> 4q—'.'r.'r'�+ 4n * . . . . . . . .. . . . . , . . . 1 ..4. ..... 1 . . . . .-'mot Fi.4- <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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroafs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways,.needs ROW <br />