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.813-780-0020 City of Zephyrhills Permit Application 70 Fax-813-780-0021 <br /> Building Department TA/ b <br /> Date Received Phone Contact for Permitting -- (p <br /> Owner's Name S�a��lY�f 6 jOt hie I Owner Phone Number <br /> Owner's Address 1314 y M ou tGell d r/o``' 3r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,,/I � <br /> ' 3l y y 10©u16l1� /Jw la , J-k LOT# <br /> JOB ADDRESS <br /> SUBDIVISION QW4 KIN( PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Qn FRAME <br /> = STEEL <br /> j! = <br /> DESCRIPTION OF WORK IO LiJ�C Jr"v� ' `SIC- <br /> BUILDING SIZE SO FO6AGE �� HEIGHT <br /> =BUILDING $ .2 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1.1 <br /> ©GAS 0 ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Of <br /> BUILDER COMPANY 44 COI'r <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address .S /s J T License# <br /> ELECTRICIAN COMPANY <br /> SIGNATUR9 REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> -.SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <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)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 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 ;:` `$3d rs'" ""-SrMAce Upgrades..A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter'if'on`pubiic'r6adWays..needs-ROW <br />