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613ae0.0020 City of Zephyrhills Permit Application Fax-813-7e0-oo21 <br /> Building Department <br /> Date Received PhoneContactforPermittin <br /> Owner's Name Owner Phone Number <br /> Owners Address r7csaA Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (( O 3 Cv �c LOT# �7 <br /> SUBDIVISION 1 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT " SIGN Q " DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE " SFR Q COMM " OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q 1' <br /> DESCRIPTION OF WORK L T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> "BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE " PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> [MECHANICAL $ p r ( 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 CURREA LUN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA LILN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL r ' COMPANY E <br /> SIGNATURE ✓ i REGISTERED I Y/ N I FEE CURREn I Y/N Address License# (3 r7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE cumEn I Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsllarge 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,Stonowater Plans w/Silt Fence installed, <br /> San"Facilities&1 dumpster.Site Work Permit for all new projects.Al 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$2600,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 notar(zed letter from owner authoring 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 madways..needs ROW <br />