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813-780-0020 City of Zephyrhills Permit Application F-ax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's N4.me Owner'Phone Number <br /> Owner's Address Owner Phone Number <br /> U_C <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simplel1itleholder Address -730 4S -1 OCA &�OC\r\,Qdri DS <br /> _J <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID#F <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK _,C <br /> -BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =R UILDING $ lybe Ulrtg.F TOTAL CONSTRUCTION <br /> =ELECTRICAL $1 AMP SERVICE 0 PROGRESS EARGY W.R.E.C.356 <br /> =PLUMBING 1$ <br /> JJ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> (C ......... <br /> BUILDER <br /> COMPANY 5_ealuJ� Vi <br /> REGISTERED Y/ N Y/N <br /> SIGNATURE FEE CURREN LyjN J <br /> Address License# <br /> -ELECTRICIAN,_ 2 COMPANY -&o f <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREN LY.LN� <br /> Addre.ss G 1 f a/a/1 p License# I P C3 �,7 <br /> PLUMBERi. COMPANY Cna- "A Y- <br /> SIGNATURE REGISTERED- Y/ N FEE CURREN I Y/N <br /> &L <br /> Address ss—, cipane" SkAt L03 4 I IP-L License# <br /> JMECHANICAL <br /> COMPANY <br /> U75,p REGISTERED Y./ N FEE CURREN <br /> Address <br /> License# <br /> ,OTHER, . .COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> .Address License# F_ <br /> ,RESIDENTIAL Attach(2)Plot Plans;(2)Sets of Building Plans;(1)set of Energy Forms;R-O-W Perm t fo?,new construction, <br /> Minimum ten-(10)working days after submittal date. Required onsite,Construction Plans,Stormwat6r'P.16ns.vd'Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large 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 /> Minimurn'ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary.Faciiifies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Dire666 n-s: ---------- <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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> bvEk'THE COUNTER PERMITTING (copy of contract required) <br /> kerdofs,if shingles Sewers Service Upgrades A/C Fences-(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />