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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-(XI21 <br /> Building Department )) <br /> • Date Received Phone Contact for PeTtImi ng'i�tTTTfT'fIT"I'T" _ <br /> Owner's Name Owner Phone Number " <br /> r <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address t <br /> JOB ADDRESS LOT# <br /> SUBDIVISION F PARCEL ID# t —Z — G 90 y 019G pG— a�D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTfl 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK r Q FRAME L_ t STEEL Q <br /> DESCRIPTION OF WORK H tiGPf/ r <br /> BUILDING SIZE SO FOOTAGE HEIGHT (jJ <br /> =BUILDING $ q rr C* VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL cg J$$ -� AMP SERVICE Q PROGRESS ENERGY W.R.E,C. <br /> r <br /> =PLUMBING is ! <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \ t <br /> l� <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO `✓ / /// <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURRFt Y/N <br /> Address License# <br /> ELECTRICIANCOMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN YIN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE cuRREn Y/N <br /> Address I License# F_ <br /> MECHANICAL COMPANY = I <br /> SIGNATURE REGISTERED I Y I N FEE CURREN Y t N <br /> Address C� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED ,, /N G FEE CUR Y/N <br /> Address d .1 License# � <br /> IIt6IIIIfIIIitIifIII ] III11I 1111 111111AIIIIIIIIIIIIIIIIl:rrIIiIIIIII <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/Slit Fence installed, <br /> Sanitary Facilities&i dumpster,Site Work Permit for subdvisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R•0 W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwaler Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PEfiM,rr Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Dlreeiions: ' <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 Attorney(for the owner)would be someone with notarized letter from owner aulhorizing 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 />