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I <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> i <br /> Date Received Phone Contact for Perm_ittin_g if <br /> Owner's Name 2 �et2 �2 �) 9 Owner Phone Number <br /> Owner's Address 3C1 �] 5 0� Q t V (,i r ,\Spwner Phone Number <br /> i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 A3 q 3ra Rot'lwhur1 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q; COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME p`� STEEL Q <br /> DESCRIPTION OF WORK (_ C pg 9 O v <br /> I <br /> BUILDING SIZE S4 FOOTAGE ` HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRI CTION <br /> I <br /> I <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> [MECHANICAL 0 0p e VALUATION OF MECHANICAL INSTALLATION$ `J <br /> =GAS Q ROOFING 0, SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> I <br /> BUILDER COMPANY I 1 7 <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address I License# <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> • I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address i License# <br /> MECHANICAL - _ COMPANY 8 - <br /> SIGNATURE '' `` REGISTERED Y/ N FEE c RREr, Y I N <br /> Address � i'� N License LAI <br /> f LAN ! <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address � License# <br /> till )tll >illlllltlollttl >I11111•Illlllllltlrlsll ;lltlltirll � lell � lll >Illtlll <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 subdivisionsAarge projel is <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,Constriction 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:• j <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 notar zed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C• Fences(PlotlSurvey/Footage)' <br /> I <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />