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i 813-780-0020 City of Zephyrhills Permit Application Fax-813.780.0021 <br /> Building Department { L <br /> Date Received Phone Contact for Permitting, <br /> 'I-Ir-1"'IT 11"11-ir <br /> Owners Name ( Owner Phone Number <br /> Owners Address Owner Phone Number r <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> LOT <br /> SUBDIVISION 1V T C3 PARCEL 10# <br /> (OBTAINED FROhl PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME L= STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING cu <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y!N <br /> Address 7771 (Y1 License# c <br /> PLUMBER COMPANY <br /> SIGNATURE a REGISTERED Y �E CCU 'Ur- <br /> MECHANICAL EN I Y/N <br /> Address License# <br /> COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn <br /> Address I License# I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y! N FEECURREA L2LN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItit1111111111111111111111111111111 <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,Stormwaler Plans wl Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge pro)ects <br /> COMMERCIAL Attech(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 /> 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$7600) <br /> •• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized latter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retoors if shingles Sewers Service Upgrades A/C Fences(Plot/SurveyrFootage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />