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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 1011 ko I 'R%DE� Phone Contact for Permitting <br /> Owner's Name �A�en Owner Phone Number <br /> Owner's Address wou S+_ Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION CU e n Viw CV PARCEL ID#F9H LO 1 -- 0 110 CCQ0Q- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONITRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SCI FOOTAGE��] HEIGHT <br /> "BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> 4PLUMBING 1$ MIR 3.DD 1 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> analnumman iffininii . . . . . . . . <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED YIN FEE CURREN LZ <br /> L N <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED YIN J FEE CURREN <br /> Address License# F_ <br /> PLUMBER T I <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 1b6Nthcm 2A I License# I Lff,-)- D <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN LL/N <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 wl 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 /> . . . . . . . . . . . . . . . . . . . . ■ . . .■ . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 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 />