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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �; � Building Department <br /> Date Received Phone Contact for Permitting — � <br /> "T't'-i"�T`T`f""i`T" 1`!'T`T " <br /> Owner's Name • Owner Phone Number �� '-f— <br /> Owner's Address Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address - <br /> JOB ADDRESS � .e�S V�l (� LOT# � <br /> SUBDIVISION PARCEL{D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �Q <br /> BUILDING SIZE SQ FOOTAGE (Q HEIGHT <br /> QBUILDING $ t �j Q p� , /�51, VALUATION OF TOTAL CONSTRUCTION <br /> (�! !v C1U <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER 6 COMPANY ,� � CQ,w �� .� <br /> SIGNATURE �� REGISTERED N FEE CURRE� Y/N <br /> Address � � � �f Z License# �CC l� �'� <br /> ELECTRICIAN CONIPANY <br /> SIGNATURE REGISTERED 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ItllEIt1 / / tllfllMlillldilllil111111lIi�/ 11ftIlR111111111IIItt1lt7l11 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sf1t Fence installed, <br /> Sanitary Facilities 8�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 Woric 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. (AIC 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 Senrice Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />