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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Race Phone Contact for Parmittin! <br /> - -- .-- <br /> Owner's Name 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 LOT 8 <br /> PARCEL IDN IaH 3 W - a)i- OND- CCCC <br /> SUBDIAnslow —0- D51 0 <br /> (OBTANED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT' SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER F7777 <br /> TYPE OF CONSTRUCTION BLOCK E:] FRAME STEEL <br /> DESCRIPTION OF WORK on <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> 4-� <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> *PLUMBING _c <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FPECURREN LY�--N <br /> Address License# <br /> PLUMBER OMPANY <br /> SIGNATURE REGISTERED -Y NN't <br /> FEE CURREN I Y4 IN <br /> I <br /> Address License# I L�pp Dq a N—) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Lfl-�N— FEE CURREN <br /> Address License# F <br /> COMPANY <br /> OTHER SIGNATURE REGISTERED I Y/ N -1 FEE CURREN <br /> Address License# <br /> 4+Hi* <br /> RESIDENTIAL Attach(2)Plot Plans;(2)Sets of Building.Plans;(1)set <br /> at of Energy:Forimis;R-O-W Permit for new construction,, <br /> Minimum-ten(10)wqrkingdays after submittal date.:Required onsite,Construction,131ans,'Stormwater Plans w/Silt Fence installed, <br /> Sanitafy Facilities&,I.dumpster,,$Itq Work,PerTnitfor subdivisionsnarge,pmjecft <br /> COMMERCIAL Attach(3)complete sets of Building Plains plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(110)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I 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 /> Jill Jill PP 11111.1-11 q11111111 <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. (AIC upgrades over$7500) <br /> 10 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 ..(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />