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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 — G <br /> ..........LAJJ44"6L&J.L&" rrrrTT=..... L= <br /> Owner's Name - Owner,Phone Number <br /> Owner's Address c0c) Owner Pho umber <br /> Fee Simple.Titleholder Name Owner Phone Number <br /> Fee Simpld Titleholder Address <br /> JOB ADDRESS I L Q e? ( �' LOT# <br /> SUBDIVISION PARCEL ID# <br /> { (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM =. OTHER <br /> TYPE OF.CONSTRUCTION On BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION.OF WORK nfh 1 K <br /> i; <br /> BUILDINGSIZE ` J Y I 1 SQ FOOTAGE= HEIGHT <br /> y; <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> 2, D <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - <br /> 3- 207 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 01 <br /> BUILDER I T, COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN. Y/N- <br /> t <br /> Address License#' • <br /> ELECTRICIAN_ FCOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> } <br /> P <br /> Address, License#' <br /> PLUMBERS COMPANY <br /> SIGNATURE REGISTERED -Y/ N FEE CURRE� Y/N' <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE - " REGISTERED Y./ N FEE,CURREN <br /> Address License# <br /> OTHER;;. ;. - COMP..ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> .Address License# <br /> -RESIDENTIAL Attach,(2)Plot Plans;(2)sets.of Building Plans;,(!)set of Energy.Forms;R=O=W.Permitfor.new•.constructiori;,. <br /> Minimum ten"'(-10)working days after.submitial date.'Required onsite,Construction Plans,:Stormwater Pians.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,Erigineered 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),orPower''of Attomey'(for ttie owner)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 p6blic•i6adways..ne'eds ROW <br />