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� _ , . 813-780-0020 � ' City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received i� phone Contact for Permitting --O 2� <br /> Owner's Name Owner Phone Number <br /> � Owner's Address V � Owner Phone Number � <br /> IIFee Simple Titleholder Name ��ner Phone Number <br /> IIFee Slmple Tltleholder Address <br /> II JOBADDRESS J—I l,T�'; h hl LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e N TALLS7R e �PAIR � SIGN Q 0 DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��Q(�'-— ^�' �p� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �i ��V� " <br /> OGAS ROOFING Q SPECIALTY 0 OTHER <br /> ��0���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO C '�,� <br /> BUILDER ���p COMPANY � ' �1 � RO(�'I <br /> i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address `�i� � � License# �� � <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �I Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 I I 1 1 1 I 1 I I 1 1 1 I 1 1 1 1 I 1 1 1 1 1 I 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcGon. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster.Site Work Permi[for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW construction. <br /> Directlons:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500) <br />� " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW i <br />� <br />