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I813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> r • <br /> Date Received Phone Contact for Pertnitting <br /> Owners Name L i t yv� 0.('�-Q,l� Owner Phone Number OC� <br /> Owner's Address f V Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple TiUeholderAddress <br /> JOB ADDRESS � V � LOT# � <br /> SUBDIVISION PARCELID# �� (�o�( l/ -"� ���� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK V �(S �^ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E. <br /> QPLUMBING $ <br /> �1C4ECHANICAL $(�� VALUATION OF MECHANICAL INSTALLATION \.� C,�' 1 �� <br /> � I �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE6ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � � A COMPANY �V �'/� �� <br /> SIGNATURE Y/✓r�] REGISTERED / N FEE CURRE� Y/N <br /> Address /' License# o2G <br /> OTHER COMPANY <br /> SIGNATURE r�GIsrEREo Y! N FeEcuar�n Y/N <br /> Address License# <br /> 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 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Si[e Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;('I)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW consWction. <br /> Directions:• <br /> Fill out applicalion completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over b2500,a Notice of Commencement is required. (A/C upgrades over y7500) <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) <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 />