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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> q Building Department <br /> I � <br /> Date 56 <br /> Received n Phone Contact for Permitting ( J )� — �6 <br /> Owner's Name //K Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS +L�' q /SLOT# <br /> SUBDIVISION PARCEL ID# ✓# v A/ 360 �!D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NtwcoNsrn ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL REPAIR <br /> Ir <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION QA`BLOCK = FRAME = STEEL <br /> DESCRIPT ON OF WORK C.�. l! �u '" "' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> 1ECHANICAL S 33 �T VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N . FEE CURREn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE cuRREn Y I N <br /> Address License# <br /> MECHANICAL COMPANY S C T <br /> SIGNATURE /1����L�'� REGISTERED I Y/ N FEE CURREn I Y I NN <br /> Address Z��T� License# v T <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn LY/N <br /> Address License# <br /> IIII11111111111111111111IIIIIItlltllllttlllllllllltlllltlllltllllll <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,Stornwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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,,notarjze� <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 notarised letter.from'Owner authoMng,same <br /> OVER THE COUNTER PERMITTING,,' (copy of,con(ract required) <br /> Reroofs if shingles Sewers. Service Upgrado A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadwayS..nee4 ROW r <br />