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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved q 5 Phone Contact for Permitting <br /> Owner's Name US.A RC--44 �7'T n Owner Phone Number <br /> fA <br /> Owner's Address J V / l/rr 2wL41U Owner Phone Number <br /> Fee Simple 1,Titleholder Name Owner Phone Number <br /> i <br /> Fee Simple,Title holder Address <br /> JOB ADDRESS -�� V r, LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL B REPAIR <br /> F <br /> PROPOSED USE = SFR 0 COMM = - OTHER <br /> TYPE OF CONSTRUCTION 0,1 BLOCK 0 FRAME = STEEL = <br /> C <br /> DESCRIPTION.OF WORK 4-1 e C,p o, 1 b-% G <br /> i. <br /> BUILDINGiSIZE SO FOOTAGE= HEIGHT <br /> =B,UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> t <br /> =P,LUMBING $ <br /> MECHANICAL $ rJ O VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = J ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER s COMPANY <br /> SIGNATURE REGISTERED Y/ N' . FEE CURREt` Y/N <br /> s <br /> Address License# <br /> r <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y'/ N FEE CURREhl 'Y/N' <br /> i <br /> Address License# ` ' <br /> PLUMBER; COMPANY <br /> SIGNATURE REGISTERED Y/ N­° FEE CURRE� <br /> b <br /> Address License# <br /> MECHANICAL COMPANY �/ SeCeS�I G em4�Le l� <br /> SIGNATURE REGISTERED YJ N FEE Y/N <br /> Address License# C.� <br /> OTHER>;,.,: COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> -RESIDENTIAL t Attach(2)�Rlot Plans;.(2)sets1..of Building Plans;.(1)set of Energy,Forms;R=O=W Permit fog new construction;. . <br /> Minimum teri�(10)Working days after sulimittal'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 /> SIGNPERMIT Attach(2)sets of.Engineered Plans. <br /> ***'PROPERTY SURVEY required for all NEW construction. <br /> .Directions: <br /> Fill.out application completely. <br /> Owner&'Contractorsign: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.roadWa�s.neetls ROVU <br />