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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 41j <br /> 3 <br /> -T-VT-ttT _ /1 <br /> Owners Name <br /> Owner Phone Number <br /> Ownees Address ttG/ l�� // Owner,Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> . L56r& /f V� LOT# <br /> JOB ADDRESS 2 �,,��J <br /> SUBDIVISION YU 1� G1� PARCEL1D# ©J e9(0' 16l7O O"d"� <br /> (OBTAINED FROM PROPERTY Taix NOTICE) <br /> WORK PROPOSED e NEW CONSTR u ADD/ALT Q SIGN � <br /> u DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STTEE�L'j�JQ f <br /> DESCRIPYON OF WORK JAI C CQ'r �r " <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =FLUMBING $ <br /> ES�MMECHANICAL $ 066 vr� VALUATION OF MECHANICAL INSTALLATION <br /> =C',4S = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . � <br /> BUILDER COMPANY <br /> SIGNATURE' REGISTERED YIN FEE CURREn Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE1, <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA I Y/N <br /> Address I License# /° Tn <br /> MECHANICAL COMPANY <br /> REGISTERED Y�N P FEEcuRR .C-2 (Er i it R` 0 <br /> SIGNATURE 7 j <br /> Address 7 G f( S License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N <br /> Addre m License# <br /> IIIIIt111111111111111111111111111111111111t11t111111111111111111111 <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 subdivisions/large 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 ou: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-Attorney.(for,.the.ovmer)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 roadways..needs,ROW <br />