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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 S� �o? — ��� <br /> Owner's Name i'l Owner Phone Number Ro <br /> Owner's Address /7 Owner Phone Number <br /> Fee SimplejTitleholder Name Owner Phone Number <br /> Fee Simple;Titleholder Address <br /> JOB ADDRESS O 7 �(//II�f/ LOT# <br /> 1 <br /> I <br /> SUBDIVISION. PARCEL ID# 006n 40 0S0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR= ADD/ALT = SIGN = = DEMOLISH <br /> d INSTALL REPAIR <br /> PROPOSED USE = SFR = Comm E4 OTHER i77 i <br /> TYPE°OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION'OF WORK <br /> , <br /> BUILDING'SIZE SO FOOTAGE HEIGHT. <br /> a <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> .=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> f. <br /> =PLUMBING $ <br /> M3ECHANICAL $ n VALUATION OF MECHANICAL INSTALLATION <br /> =;GAS = ROOFING Q . SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 <br /> .BUILDER- ---- -- -- -- - -COMPANY-1-- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address license# <br /> ELECTRICIAN .:: , COMPANY <br /> SIGNATURE REGISTERED Y/ N LY/N. <br /> Address' - License# <br /> PLUM.BERc COMPANY <br /> 'SIGNATURE. REGISTERED Yr/'N'`` FEE CURREN Y/N <br /> Address License#- <br /> ''.MECHANICAL' ' COMPANY <br /> "SIGNATURE'• ��� REGISTERED Y N - FEE:CURREt. ICYYN <br /> Addre§ss1'1' 1oC2136191 `US License#, .C CQS�� <br /> OTHER',-''';'•r COMPANY <br /> SIGNATURE:'+ REGISTERED Y/.N J FEE CURREA' <br /> Address:«;: :.:r^: License# <br /> ....: <br /> RESWENT_I`AL=:; '-Attach"(2j':Plot P.lar s;;(2)sefs of Building Plans;(1)`sef of Energy Forms;R-0.=. new,construption, <br /> a um._ten,(,10)workingdays after submittal:date:"Require8'bnsite;'Construction'Pians,'Stormvirater Plans w/Silt Fence installed,. <br /> Sanitary.:Facifloge ,'8�:1',;dumpster;_Site:WorksPermitforsubdiyisions/large"projects::- <br /> .`.00MMERCIAL Attach=(2)'camplete'sefs`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 fo ,ail-new,projects.All commercial requirements must meet compliance <br /> SIGN'P.ERMIT Attach'(2)sets.of;Engneered Plans: <br /> PROPERTY SURVEY <br /> ,required for all,NEW construction:.. <br /> Dire_ctions:: <br /> Fill out;application completely. <br /> OwnerA Contractor sign.back of application,notarized <br /> If.over$2500.a Notice.of Commencement is required. (A/C upgrades over$7500) <br /> Ag*ent(for' ator),or'Power-ofAttomey(for'the owner)would be someone with notarized letter from owner authorizing same <br /> ER.THE 00UNTER_P.,ERMITTING.. ..--. .(copy..of-contract required) <br /> ;Reroofs if shingles ~Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not ROW <br /> over Counter if on public roadways.Aei eds <br />