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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number 1 L <br /> Owner's Addre -—- __.. - f�(�Owner Phone Number <br /> Fee Simple Titleholder.Name o V c—Owner Phone Number <br /> Fee Simple7itleholder Address <br /> JOB ADDRESS r CC- LOT# I J <br /> SUBDIVISION lC- �-� PARCEL ID# i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTRkf ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM [ ] OTHER <br /> TYPE OF CONSTRUCTION =: BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> i <br /> BUILDING SIZE I d O�v SQ FOOTAGE Od HEIGHT <br /> BUILDING $ 063 VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> =ELECTRICAL $ AMP SERVICE 0 9 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ` ` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q <br /> I C� <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO- <br /> i <br /> ZI <br /> BUILDER __ — COMPANY c <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN < VIX/v� O� COMPANY <br /> SIGNATURE i REGISTERED / N FEE CURREN Y/N <br /> Address License# ��IOQ2a <br /> PLUMBER n COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 3-0 A- 49.90iC G fc4 License# , E OS7yL/ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 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 /> 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 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />