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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-UU21 <br /> Building Department <br /> Date Received $ <br /> r `� Phone Contact for Permitting ( c� <br /> EiEEi EiE ! illE <br /> Owner's Name Owner Phone Number <br /> Owner's Address 3 / SV Y N Owner Phone Number <br /> Fee Simple Titleholder Name �—Owner Phone Number <br /> Fee Simple Titleholder Address t /� (�/: ® /;�� <br /> JOB ADDRESS I +�n,t'vSbx\Y ter \✓PISS Cr SCOT# ]^� <br /> SUBDIVISION e •V�/ PARCEL ID# Q1 C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION r= BLOCKS` Q l�,FR�A/M�E STEEL <br /> a� <br /> DESCRIPTION OF WORK Lf X2-Y, WI 1 VQ C/�hS VAS + l S,IA,b • D�C/� <br /> BUILDING SIZE I f '/Zy= SQ FOOTAGE HEIGHT I /v + <br /> �x XL LL Cifi,€x€LkxL€€€LC€L"cxiLL€€CLC€€€S LiE"kxxx txxktk Cxx xx kk CLx.LL1 <br /> UILDING —7 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY �V � � vy 1 CCC�"1 VT S ^� d <br /> SIGNATURE REGISTERED Y N FEE CURREN / //N <br /> Address �� in I R License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License It <br /> i #Iiiit# t [ tiiliili # I # i# i# iititiiitiltIl # t # titltiltillitiii #d # tit #ti: <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 onsile,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler;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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler.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 />