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813-7.80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 4 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name ' Owner Phone Number <br /> Owner's Address (�3 ✓ b Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple?itleholder �I�Address Z <br /> JOB ADDRESS ✓ C�r 1(V C v A�S 1� — Z !1 yr <br /> 1 f 1 S C—L .0 OT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> I INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q� BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> frl. <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> 1 <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��V <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# (( ff� <br /> MECHANICAL �� ;, COMPANY aii k CONdtT/OHtv1 U-C <br /> SIGNATURE [1 �'�l� // TISTERED F� Y/ N FEE CURREN /� Y/ <br /> Address S !7 W'I ltr4ms Set/ L [C40" Al rL336�V License# Cr1 cI it 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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 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 'Service Upgrades A/C::. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />