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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 I . . . . . . . . . . IFY 7) '727 <br /> Owner's Name Owner"Phone Number 71—5 <br /> Owner's Address[ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL <br /> f (OSTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK IAQ444-6- 7 u/40aV6 512re_ A,'Z ,5ji!e_, <br /> BUILDING SIZE I I SO FOOTAGE= HEIGHT <br /> EB1 <br /> UILDING 1$_J_, X3, t� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> ]MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY wlve%w wowl 4 -6/4-1 <br /> SIGNATURE h 'ILI <br /> VJ REGISTERED V Y) N J FEE cuRREr, <br /> Address 019:741 .32-7-7--- License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Ly=N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> SIGNATURE COMPANY <br /> MECHANICAL COMPANY <br /> Y/ N FEE CURREN LY I N <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE I REGISTERED Y1 N FEE CURREN <br /> Address License# <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for subdivisionsfiarge 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 wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster Site Work Permit for all new projects.Ali commercial requirements must meet compliance <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$2600,a Notice of Commencement is required. (AIC upgrades over$7600) <br /> Agent(for the contractor)or Power ofAttomey(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 />