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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-1=1 <br /> Building Department <br /> Date Received Phone Contact for p...,Iwg --- - - - - - - - - + <br /> Owner's Name Owner Phone Number <br /> Owner's Address Fhankllh 10 ste-a Ovmw Phone Number <br /> Fee Simple Titleholder Name I i owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS P3ft-�3 LOT# <br /> SUBOP41SION CakSl PARCEL IDIIIP4—alroll-0000-00100-00,70 <br /> (OWXNED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> INSTALL E� REPAIR <br /> PROPOSED USE = SFR r-1 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK r-1 FRAME STEEL <br /> DESCRIPT;ON OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ffBUILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =T-LUMBING is <br /> 3divECHANICAL IS,3750. VALUATION OF MECHANICAL INSTALLATION <br /> =C."AS = ROOFING SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURa' REGISTERED I YIN FEE CURRFK <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N I FEE cuRREN <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED I Y/ N FEE CURREN <br /> Address 7 License#I <br /> MECHANICAL COMPANY 6a:5 <br /> SIGNATUP.=- 17 <br /> ? REGISTERED Y/ N IIEE CURREN Y/N <br /> Address qW01knd %hill:5 License# <br /> OTHER COMPANY <br /> SIGNATURE <br /> I REGISTERED Y/ N FEE CURREN <br /> Address License# <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)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for subdivisionstiarge projects <br /> COMMERCIAL Attach(2)completeCfB Id a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction, <br /> Minimum ten(10) ng days <br /> date. Required onsite.Construction Plans;Stormwater Plans w]Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work PerTnft!6r all now projects.All oommercid.requirements must 'Meet compliance, <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> -& <br /> Fill ow application Completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power OfAttorney(for the Omer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if sningles Sewers sepAce Upgrades A/C Fences <br /> Fen (Plot/Survey/Footage) <br /> Driveways-Not over Cpunter it.,pn- <br /> rr publicro4dways..needs ROW <br />