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613-750-0020 City of Zephyrhills Permit Application Fax-813-7e0.0021 <br /> Building Department <br /> Date Received g�- <br /> Phone Contact for Pemta I <br /> Owner's Name t' Owner Phone Number <br /> Owner's Address Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O C c -f �f -�"" LOT.# <br /> SUBDIVISION 1V PARCEL 100 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR ' <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL = :. <br /> DESCRIPTION OF WORK f <br /> BURRING SIZE �� SO FOOTAGE 148GHT <br /> =8UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL RAMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> DOLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION14f `9 �� <br /> =GAS = ROOFING = SPECIALTY U OTHER c <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRB <br /> Address n License#F� <br /> PLUMBER a� ` COMPANY <br /> SIGNATURE .=(�_=. t ��—+ REGISTERED Y N FEEE CU CURREN I Y�/N° <br /> Address u License# <br /> MECHANICAL i COMPANY <br /> -SIGNATURE REGISTERED I Y/'N FEE CURRMh Y!N <br /> Address License# 1 —� <br /> OTHER COMPANY i� <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllltllllllllllll <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/Slit Fence installed, <br /> Sanitary Faciifttes&1 dumpster,Site Work Permit for subdivisionsAarge pro)ects <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 onslta,Construction Plans,Stormwater Plane w/Siit 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 or Engineered Plans. <br /> **"PROPERTY SURVEY required for all NEW construction. <br /> Directlona: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC 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(PlouSurveywootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />