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813-780-UO2U City of Zephyrhills Permit Application Fax-813-780-0U21 <br /> Building Department <br /> Date Received 1 Phone Contact for Permitting ( ) <br /> ! ! ! [ [ a T.a t1 fitIra A 9 a a a I <br /> Owner's Name Y_G 1� S 'VI D Owner Phone Number —,Crl T r <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address '^ <br /> JOB ADDRESS95i �' V LOT# <br /> SUBDIVISION PARCEL ID# <br /> eTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �EW CONSTR e ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK <br /> FRAME STEEL ��,� <br /> DESCRIPTION OF WORK Q I t c OO Owc IA J C�7 IL./�0 WW S l ato <br /> BUILDING SIZE l I r SQ FOOTAGE HEIGHT <br /> EPP'CCCi:LC ZCL'C'CCCC CLCCZC+CCU[."x.Li:i.i;CC.CCCtCII.CL LZC:i CCCL ECCCCCCCCCCCC CCC[C� <br /> UILDING $ ®O,^�'ftJ 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 Q SPECIALTY = OTHER s�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Vac, <br /> BUILDER COMPANY Y C lx-kCG Y S �i <br /> SIGNATURE REGISTERED 2kj )PIN FEE CURREN 21 <br /> Y N <br /> Address &-h ;Larc License# UrG 3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE 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# <br /> tiltltli [ E [ iI [ iill [ i [ I [ lEit [ [ [ 6 [lii [ IflililEl [ T [fitiiliFiiiTii [ IFiti': <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 dale.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 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 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 />