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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name LCt &A tit Owner Phone Number <br /> -27 <br /> Owner's Address—1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRIESS LOT# <br /> SUBDIVISION F PARCEL ID# _0 — O 0 p O—0 (� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = _ OTHER <br /> TYPE OF CONSTRUCTION , BLOCK = . FRAME = STEEL 0 <br /> • f <br /> DESCRIPTION OF WORK <br /> f: <br /> BUILDINGSIZE SQ FOOTAGE 'S� ' HEIGHT <br /> BUILDING $ Q J ® VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY_ Q W.R.E.C. <br /> =PLUMBING $ T„ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> v/v)(��1 <br /> t <br /> 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 /> i <br /> Address License#' <br /> s <br /> ELECTRICIAN COMPANY <br /> `SIGNATURE REGISTERED Y/ N FEE CURREr,' <br /> Address license# <br /> PLUMBER: COMPANY <br /> .SIGNATURE REGISTERED' Y/ N FEE CURREN - Y/N <br /> Address -License# <br /> MECHANICAL COMPANY ' <br /> SIGNATURE REGISTERED Y./ N FEE CURREN <br /> Address Li nse# <br /> OTHER;;: " . f�� t� S -COMPANY <br /> SIGNATURE REGISTERED. Y/ N FEE CURREt, Y/N <br /> Address `I rJ �� License# <br /> RESIDENTIAL' Atiach_(2).PIot,Plans(2)sets, Building Plans;,(T).set of Energy.Forms;R=O=W_Permit for new.construction,,, <br /> Minlrrlum fen(10)'working days aftersubmMal-date: Required-onsite,Construction-Plans,'Stormwater Plani,.W Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 /> Minimuni'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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVERTHECOUNTERPERMITTING� (copy.of contract required) <br /> Reioofs'if shingles Sewers Service`Upgrades A/C. Fences(Plot/SuNey/Footage) <br /> Driveways-Not over Counter if on public'roadways..needs ROW <br />