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813-780-0020 City of Zephyrhills Permit Application _ Fax-813-780-0021 <br /> Building Department <br /> Date Received —�Lp $ g Phone Contact for Permittin p�.7 S`1 Q-`^1 <br /> Owner's Name Owner Phone Number <br /> Owner's Address 4 cr�.r Owner Phone Number <br /> I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> i <br /> Fee Simple Titleholder Address ((�� 11 <br /> JOB ADDRESS Q_Q 1 LOT# �d <br /> SUBDIVISION '� S PARCEL ID# S ' 3�;` Q 1 - t)I l 3" <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q ^FRAME 11 1= STEEL (_ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE "1 1 SQ FOOTAGE[ HEIGHT p 1 <br /> =BUILDING $a VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $L AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ /]G <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION$ <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Nv <br /> A\ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE< Y/N AddressZxq GI lv�_ License# 1 <br /> ELECTRI COMPANY G ca- <br /> SIGNAT E REGISTERED- Y/ IN FEE CURREI Y/N <br /> Address License# {I-,�,I,�,, Si,, <br /> PLUMBER COMPANY F 1gIneAgL � rl�-t— 'Jam,I 1 e- <br /> SIGNATURE - REGISTERED Y/ N FEE CURREN I Y/N <br /> Address LA I � License# / E� <br /> MECHANI COMPANY <br /> SIGNATURE /! Y/ N FEE CURRE1 Y/N <br /> Address W License# <br /> OTHER COMPANY Y' <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIII11111,t111-1111111111111111111111 � <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> 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 Engineered Plans. <br /> -*PROPERTY SURVEY required for all NEW construction. <br /> i, <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(far the contractor)or Power of Attorney(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 />