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_ 813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Data Received Phone Contact for Permitting <br /> -m-rr p rr� <br /> Owner's Name ��1�/� f r r,. Owner Phone Number <br /> Owners Address 6 0 f`C Owner Phone Number <br /> Fee Simple Titleholder Name Gamer Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ✓ �u C ) �f LOT# �� <br /> SUBDIVISION l�1 6 r S PARCEL IDf1 ® 0 &02 da oc 01"7 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK i <br /> itr R <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING is <br /> 1ECHANICAL $ _ VALUATION OF MECHANICAL INSTALLATION <br /> a <br /> =cvks = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATUR'_ REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY r S R- / <br /> ® n& 6a5*1 <br /> SIGNATUR.'SE 9 7�` REGISTERED Y/ N FEE CURREt. Y/N <br /> Address lqq`I Z 4 1 J License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Addre,s License# <br /> tllltllttllttltlllltltttllllllllttltllllltlllllttltlltlttltttllltlt <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 subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same i, <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if s`ringles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />