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813-780-0020 City of Zephyrhills Permit Application Fax-B13-780-0021 <br /> Building Department ��r (�`�v► <br /> Date Received Phone Contact for Permitting 2 L <br /> i <br /> Owner's Name Owner Phone Number <br /> R <br /> Owner's Address613 6aildi< Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS _'' i S //'� �y LOT# I <br /> SUBDIVISIONFi� (Jl T PARCEL ID# —12 —a r U070— 0 ego <br /> me 0'e- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e �LT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q-f FRAME = STEEL = <br /> DESCRIPTION OF WORK �( L Lr <br /> BUILDING SIZE SQ FOOTAGE <br /> rT� HEIGHT <br /> TI�E��Tr�i�F f��7"P'1`�i �PrPY`PTP9T PTP9'9"ITP'P'➢�I�i®PTr—l"P�PSTITrT'�i"1"F�FTITr'PT <br /> BUILDING 4 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/( / ✓ <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER <br /> SIGN R REGISTERED SY/ N I FEE CURREN I Y/N <br /> n rr�Address S h I License# I ek fee <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111I111111 <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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 onsile,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 /> Directions:ons: <br /> FlII 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 /> 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 /> .,. ..,.. .1 ._.... .. :.�[�' .. ' ., .rho`..•t u. <br />