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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department. yy P v1 <br /> Date Received 3 Phone Contact for Permitting 1 (19 <br /> ,, , 1 1 1 1 1 , <br /> Owner's Name �j low o, Owner Phone Number I q V <br /> Owner's Address n 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I YI LLOT# <br /> SUBDIVISION PARCEL ID# I "1 (� Z� ocro V z-_!/O —0 I J-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE r<1 SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION 1�9_ BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 1 <br /> BUILDING SIZE F7 SQ FOOTAGE HEIGHT <br /> BUILDING $ j`n VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �JV AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER l` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY r G f\ r <br /> SIGNATURE REGISTERED Y N— FEE CURREK I Y/N <br /> 1� — \ License# Z� <br /> Address r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN I Y I N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK LZI N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIItllllllllllltlllllllllllllllllllllllllllllllllll <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 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 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. (A/C 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) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />