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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ve#I z S 7 <br /> Date Received �/ <br /> Building Department r,V,V A 3 <br /> � " <br /> Phone Contact for Permitting - <br /> Owner's Name Don r Wo Owner Phone Number <br /> Owner's Address f I V'C I 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 9 V2_ ID CM X LOT# <br /> SUBDIVISION PARCEL ID# <br /> . (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT L.J SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 10FOWIF YRffiNaE PLIQUILf 2-H-1 NO PL I T <br /> BUILDING SIZE I SQ FOOTAGE I 1 00 HEIGHT <br /> BUILDING $Q V O^lJ^ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER, COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN L11N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN <br /> Address License <br /> MECHANICAL <br /> SIGNATURE TREGISTERED I Y/N FEE CURREN Ly/N <br /> Address License# <br /> OTHER COMPANY C.a �t aj C Oh j) <br /> SIGNATURE - REGISTERED I YIN FES4VJRREN Y/N <br /> Address U 4)1 C1 F1 nectec+YJ License# Q <br /> -867 <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Bullding Plans plus a Life Safety Page;(1)sat of Energy Forms.R-0 W Permit for now construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans vd 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 ali NEW construction. <br /> ---- - ---------- -- ---- ------- <br /> Directions:S'S % % . <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$7600) <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 />