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813480-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �7NJ <br /> - <br /> Date Received l - Phone Contadfor Permitting <br /> Ownees'Name. P_/l 1 <•Owner.:Phone'Number:°+ <br /> Owner's Address Owner;Phone•Number° <br /> Fee Simple Titleholder Name Owner Phone'Number <br /> Fee Simple Titleholder Address <br /> JOB,ADDRESS 77 LOT# <br /> .. <br /> 77 <br /> ,, .. <br /> SUBDIVISION ;;PARCEL ID# <br /> _ ,(OBTAINED EROM PROPERTY.TAX NOTICE) <br /> SIGN ;. T .DEMOLISH <br /> WORK PROPOSED " EINSTALL <br /> . NEW,CONSTR` ;��:� .:' :;ADD/AL•T Q = :0. <br /> 'B' REPAIR <br /> PROPOSED USE'- %0'' SFR" 0' COMM'' 0 OTHER"•r l ' ' <br /> TYPE OF CONSTRUCTION. = BLOCK Q FRAME Q' STEEL; , "' ``" <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE �tJ. HEIGHT <br /> - - <br /> BUILDING VALUATION.OF.TOTAL CONSTRUCTION <br /> =ELECTRICAL $. 'AMP.SERVICE 0 PROGRESS ENERGY. Q'. _. W.R:E:C; <br /> =PLUMBING $ <br /> =MECHANICAL $. ' VALUATION.OF=MECHANICALINSTALLATION'.: <br /> =GAS = ROOFING Q-l""SPECIALTY:-=; OTHER', . <br /> FINISHED-FLOOR ELEVATIONS FLOOD ZONE AREA '=YES �NO <br /> BUILDER. COMPANY''` <br /> SIGNATURE REGISTERED . " Y/•N >'"' 'FEE'CURREK- Y`/`N;r'= <br /> Address License'.# ;:C C.C.I J C� <br /> ELECTRICIAN" COMPANY _`= <br /> SIGNATURE REGISTERED' 'Y7 N'': :i FEE'duRREn:-' .< •: Y'/;N;'.; <br /> :;Address ;.License.#; <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED . . A4 N - ATEE;CURREN::, <br /> Address. License,# <br /> MECHANICAL COMPANY <br /> SIGNATURE, . REGISTERED' YIN , . FEE,CURREN ' :Y-/,N <br /> Address License#- <br /> OTHER COt1A.PANY <br /> SIGNATURE REGISTERED'" Y:''/''N FEE CURREN ' LY:`/N"` " <br /> Address <br /> .License'# <br /> ; . ...a;. <br /> RESIDENTIAL Attain"(2p•PlotPlans,'(2)sets of Building'P.lans;:(1.),set of'EiierW Forms'.R=0=1N Permit forriew con"stniction <br /> Minimum ten(10)working.days after submittal date..,Required onsite,Construction Plans,Stormwater Plans W/Silt Fenceinstall_e i = <br /> Sanitary Facilities.&1 dumpster;Site Work Permit for,subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete seWof Building;Plans_plus a Life'Safety Page;'(1),set of,Energy Forms.R-O-W-Permit,for,,.new con`strucgo"n.-;: <br /> Minimum ten(10)working iJays af4er submittal date:'Required onstte,Construction Plans;Stormwater Plans`.w/Silt Fence`instilled;' <br /> Sanitary Facilities-&�A dumpster;.Site,Work`Perm)t_for allmbw.projects:All-commercial requirements must meet compliance . <br /> SIGN PERMIT Attach(2)sets;offngineered Plans. <br /> """"PROPERTY SURVEY-required for•aIPNEW'construction. <br /> bireotions: <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'lefter from owner authorizing same <br /> OVER THE-COUNTER.PERMI.T..TII!)G .4 ,yx(copyxof'conUactrequiretl) - <br /> Reroofs.if shingles° Sewers.;`,.;:;,•„S,eryicq Upgrades A/C; .Fences(Plot/Survey/Footage) <br /> Driveways=Not over Counter;if.on publfc'roadways::geeds ROW <br />