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.813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 'JJ4J;4WJJJ-Y�..... ... ............ <br /> Owner's Name iA en/10, Owner Phone Number 42 4-.20 q <br /> Owner's AddressFW2 9 44e,1Aa14ui Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F-7,?2-q LOT# <br /> SUBDIVISION PARCEL ID#F— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> e INSTALL F I REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME Q STEEL <br /> F-- <br /> DESCRIPTION OF WORK b 7 <br /> BUILDING SIZE C SQ FOOTAGE HEIGHT <br /> v11111111W i iIIII lisle!@1!.4 1'...1444,14 1 <br /> BUILDING 2100 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> Aloe) <br /> =GAS ROOFING SPECIALTY OTHER oo� YJ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .............ul <br /> BUILDER COMPANY Bove reocoe <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# r7f <br /> L/ 'r <br /> ELECTRICIAN COMPANY <br /> SIGNATURe REGISTERED Y/114 FEE CURREN <br /> Address License# F— <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N.- FEE CURREN' L_y LN J <br /> Address License# <br /> OTHER, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN <br /> Address License# I <br /> M 0 f 2 N i t I M <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/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 /> -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 />