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r 813-780-0020 City of Zephyrhills Permit Application F.-813-780-0021 ® , <br /> Building Department Zfi✓V <br /> Date Received Phone Contact for Permitting f� <br /> a a a a a a a 9 aaaaa <br /> Owners Name ari Owner Phone Number <br /> Owners Address 2_9 Prowner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .� 23 k �Q 1 33 �pyLOT# <br /> SUBDMSION �cJ1 nS �S PARCEL ID# i?--2-k,'-Zi! C 0— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR a ADDIALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q pp <br /> DESCRIPTION OF WORK ( (� ( /Y� �" •, o ( y1 l Z �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT ��11 <br /> -rrrrrrre-r><-rrrrrrrrrcc c c-rxc-s�-rrrrrrra-rrr,rrcrrc rr�-rrlrrrrrrrrcrcrrrrrc-r <br /> =BUILDING $ (c, n�!� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �J CJUI� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE1 REGISTERED Y/N FEE CURRENLLL-NLJ <br /> Address a License# <br /> OTHER VCOMPANY <br /> SIGNATURE REGISTERED Y/N FEE cuRREN I Y/N <br /> Address License# <br /> aaiataeiaal111aReaaeaaali�la[aaa taEValLaaaaaaaalaalaEataiaaaaaa (aaaat <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans, 1)set of Energy Fortes;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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsfte,Construction Plans,Stor mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Al 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 authormng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C , Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />