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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 — /a <br /> J�IfO J <br /> Owner's Name Owner Phone Number <br /> Owner's Address k QcEu )FZOwner Phone Number . <br /> Fee Simple•Titleholder Name. Owner Phone Number <br /> Fee Simple,TitleholderAddress <br /> JOB ADDRESS 3g aS c ) A 1, OT# <br /> SUBDIVISION PARCEL ID# •I p((G (Dukfl -UV3UO— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON$TR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL H <br /> REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION DR BLOCK = FRAME = STEEL = <br /> is <br /> DESCRIPTION.OF WORK 7 / <br /> is <br /> BUILDING cSIZE SQ FOOTAGE HEIGHT ' <br /> I' <br /> =BUILDING $�/ �� Gto VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> .=P,LUMBING $ (J� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [�� ROOFING 0 SPECIALTY = OTHER <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN. Y/N <br /> Address �3�5 its 3' License#' �J� <br /> i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN <br /> I ` <br /> Address'" License#d <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREM 'Y/•N <br /> Address' License# <br /> MECHANICAL COMPANY <br /> SIGNATURE' REGISTERED . YJ Nc•. FEE CURREN Y/N <br /> i <br /> Address License it <br /> OTHER-, c, COMPANY <br /> SIGNATURE REGISTERED LILN FEE CURREN . Y/N <br /> Address License#" <br /> RESIDENTIAL Attach�(2)Plot•Plans,;(2)sets.of Building Plans (1)set of Energy;Forms;R_6--wpermit fo[,new.constructiori;-. <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 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 /> Ditecti'one: <br /> ,Fill but 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:COUNTERP.ERMITTING• • - (copy.of Contract required), ._..___ <br /> Reioofs:if.shingles Sewers-- Servied'Upgrades A/C :-Fences(Plot/Survey/Footage) <br /> Driveways=Not-over'Counter if,on,publicjroadways..needs ROW <br />