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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 C <br /> Owner's Name y M Owner Phone Number -_?y <br /> Owner's Address t^ /-T Y rOwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address T '� r/� / f,y+, / <br /> JOB ADDRESS / /, / ,r',0 X�H 17i't r LOT# f�/ <br /> SUBDIVISION PARCELIO# O -Z!v 21 U��I �00000- I'I b <br /> t09TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK FROOA1 (,A <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING VA F ONSTR N <br /> =ELECTRICAL $ 7 P SERVICE PR RESS ENERGY = W.R.E.C. n <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL IN ST TI0N n 7 P(" <br /> =GAS = ROOM SPECIAL OTHER <br /> FINISHED FLOOR ELEVATIONS NE AREA =YES NO <br /> BUILDER COMPANY (J j <br /> SIGNATURE �►y r1n REGISTERED N FEE CURREN N <br /> �- W Address !D lvn > VE mpfp4 License# leoob-1`/Z) <br /> ELECTRICIAN COMPANY G <br /> SIGNATURE 1 REGISTERED N FEE CURREN /N <br /> Address Y10,0 'w•i7PIVA10 Ucense#IF-aAelUe (a <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 Fors.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meat compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required far all NEW construction. <br /> Orrectlens.• <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 />