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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 <br /> Owner's Name Owner Phone Number <br /> Owner's Address S ! _h4 S4 Owner Phone Number <br /> Fee Simple Titleholder.Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL IN <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR= ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL ':REPAIR <br /> PROP.,OSED,USE = SFR Q COMM = OTHER ' <br /> TYPE`OF CONSTRUCTION BLOCK 0 . FRAME STEEL'. <br /> DESCRIPTION-OF WORK �( n tot, <br /> �i e <br /> BUIL"DING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING. $ Zj:�IALUATION'OF TOTAL CONSTRUCTION <br /> •:=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> cj <br /> =MECHANICAL $ O VALUATION OF MECHANICAL INSTALLATION <br /> �)O 0 <br /> ROOFING SPECIALTY <br /> 0,.G.AS = 0 = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO •J <br /> BUILDER COMPANY [ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address lit A fit) -License# <br /> 0vv <br /> 'ELECTRI,CIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address` License# <br /> —to <br /> PLUMBER2: =�J I fly <br /> COMPANY <br /> SIGNATURE 2A REGISTERED f Y•/ N,--. '•.. FEE CURREN .- Y/N <br /> Address License#` <br /> MECHANICAL L COMPANY. <br /> SIGNATURE'" REGISTERED Y/ N FEE CURREN <br /> Address'-r License.# <br /> ;.:OTHER- ~.. ~.;- COMPANY <br /> -SIGNATURE•..;i_a 1`, - REGISTERED Y/ N FEE CURREN <br /> License# <br /> 'RESIDENTIAL';-{, ';Attach';(2);PIofRlk s;'(2.)setsy'of Building Plans;(1)`set of Energy Forms,R.OyV.Perriiit_for rrew.construction,:.s ;. Mlnlmum ten(;10)workingrdays:after sutSmittal:date.:Required onsite;ConsWOUon`Plans�Sfomiwater Plans w/Silt Fence installed,- <br /> Sanita Facilities&1 d Permit for'Subdivi§ions/large'project`s':. <br /> :COMMERCIAL 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,-11-'new projects.All commercial requirements.must meet compliance <br /> WPERMIT "AttacFi(2)sets;of Engineered;Plans:s. . , <br /> ****PROPERTY SURVEY r_ wired for,.all.NEW construction.. <br /> Fill out completely. <br /> ' :Owner&'•Contractor sigri'back of application,notarized <br /> If over$2500,a Notice of:Commencement.1s required. (AIC upgrades over$7500) <br /> Agent°(for°the contractor)or Power•of`Attomey(for'the owner)would 6e someone with notarized letter from owner authorizing same <br /> ,0V.ER:THE'000NTER�PERMITTINGv" ::-";(copyof-contract-required);:;_:', "` <br /> Reroofs.if shingles ASewers ServI0 Upgrades A/C', Fen"ces(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on.publicroadways.. eedeROW ; <br />