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I <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-790.0021 <br /> Building Department <br /> • Date Received I phone Contact for Permitting <br /> -ram n r r r r !a`r� ` 992191919111 <br /> Owners Name Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> 1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L) —^ ` LOT# <br /> SUBDIVISION r U PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL <br /> I ` v <br /> DESCRIPTION OF WORK •' f \ <br /> I <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E,C. <br /> I <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address n License# I <br /> PLUMBER �^ COMPANY ECU <br /> SIGNATURE `� ,I11 � REGISTERED Y N FEE CURREf` I Y/N I <br /> Address l-•t-1< 0 10 License# I`.oi't:_ Q3-)�—GC9 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# I I <br /> IIIIIIt111111111111111111111111111111111111111111111'lllllllllllllll <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,Stonmwater Plans w/Silt Fence installed, <br /> G Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAerge 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 I' <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$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the 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 public roadways..needs ROW <br /> I ' <br />