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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 n ffi � d tGiv tS. Owner Phone Number <br /> aWner ree ls �'�` <br /> ' �..�s Add ' � .x Owner Phone Number <br /> .. a--- <br /> Fee SimpleiTitieholder Name Owner Phone Number <br /> Fee Simpie4lTitleholder Address <br /> //E- :#:::::- ,'/ s� LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> . NEW CONSTR 8 ADD/ALT SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE':OF CONSTRUCTION Q BLOCK - Q FRAME STEEL <br /> DESCRIPTION;OI?r.11V073R— A <br /> eiie <br /> BUILDING SIZE SQ FOOTAGE�.� HEIGHT •��� <br /> VALUATION'OF TOTAL CONSTRUCTION <br /> AMP SERVICE C] PROGRESS ENERGY Q W.R.E.C. <br /> .q <br /> E ECTRI AL <br /> =PLUMBING $ <br /> 0MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =,GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> QBU(LDER= • , COMPANY <br /> SIGNATURE REGISTERED Y`/ N FEE CURREN Y/N <br /> Address -License# �— <br /> i <br /> ELECTRICIAN -. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> _ PLUMBER.� COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y/N <br /> Address License#` <br /> MECHANICAL. COMPANY <br /> 'SIGNATURE REGISTERED Y/.N FEE CURREN Ljj N <br /> Address' License# <br /> OTHER COMPANY <br /> "SIGNATURE`} REGISTERED Y/.N . FEE CURRENY/N <br /> Address, License# <br /> :RESID,ENTIAL;: .'Attach;:(2)';Plot?Plans;"(2)'•`sets'•of,Building`Plans;'(9)'set of Ene'rgy.Forms;R=O-W.Pe6li,fgr new•construction; <br /> .. , . <br /> worksng;.clays•after-sulimittai=date:'Requ'iredlonsite;Construction Plans;:Stomtwafer Flans w/Silt Fence installed,. <br /> Sanitary1Facilities&1:dumpster Site Work Permit forsubdivisions/large.projects <br /> .COMMERCIAL Attach(2)-complete`sets'6, 'Bull ing 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 -Attddif(2)'se#s;of,Engineered Plans: <br /> ****PROPERTY SURVEY required,for all NEW construction. <br /> Directions: <br /> Elll.out application completely. <br /> Owwner'&Contractor sign back of application,notarized <br /> If over$2500.a Notice of'Commencement is required. (A/C upgrades over$7500) <br /> Agent-(for'tlie contractor)or Power-ofAttomey(16r'the own(ir)would tie someone with notarized letter from owner authorizing same <br /> ('OVER-THE.COUNTER•PERMITTING.. -_ (copy..of-contract-required) <br /> Weroofs if-shingles , Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadviays'.needs ROW - <br />