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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting 0 QTO <br /> Owner's Name . .....UU(MUM Owner Phone Number 1: INS 1 59) <br /> Owner Phone Number <br /> Owner's Address VVI-) 3�XMA !KQ04WA <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS GO 0^ fl LOT# <br /> SUBDIVISION Vi PMCELID#1 14 N-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ED FRAME STEEL <br /> DESCRIPTION OF WORK 1 r) <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C_ �. <br /> 1 1 14 14 1 <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> co <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTAL.LATION <br /> =GAS Q ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED ........... <br /> Address License# CCC DS Z),11 <br /> ELECTRIC". COMPANY <br /> SIGNATURit REGISTERED YJ N J-, FEE CURREN LILN J <br /> Address License.4 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y VN FEE.CURREI,Address -License#* <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED > Y' N `J fEE CURREN <br /> Address -License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/,.N..-I FEE CURREN <br /> Address License.# F-- <br /> RESIDENTIAL Attach j2),?Iot-Plans;-(2)..sets of.-Building:Plans;(1)set of.Energy Forms;R7Q;W.Permlt:fcr:new.constructlon, <br /> Minimum'ten 110)working:days after submlttal'da`ie.,!Re4U'lr6d 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.d'ays-after submittal date:'Reqpiredonsite,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,requlred for all NEW construction. <br /> "f6P1r4ect414oTnRVIIII!I III aIIIIIN111"It limit ims!x1itifil 1 if;RIIIIIiiiii 111 1 1 if 1111mmilli wiIIIIIiiiiiii!liIiIIIIIIiiii 64 111------- <br /> Fill out application completely. <br /> Owner&Contractorsign.,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 Sbwers Service Upgrades A/C- Fences:(Plot/Survey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />