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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 Permittin"gi r-T-r I I . I <br /> r—x3l <br /> Owner's Name <br /> Owner Phone Number <br /> Owners Addressi _JaN_�) Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address LOT# <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL ID#F r') <br /> (OBTAINED FROM FROPERTYTAX NOTICE) <br /> WORK PROPOSED NEWCONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSEDUSE = SFR Q COMM OTHER I Cc 0 <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> 1, <br /> DESCRIPTION OF WORK OvA N-1 v2ci' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> r . . . <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> ]MECHANICAL 1$ --- VALUATION OF MECHANICAL INSTALLATION <br /> 71 <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . .. <br /> BUILDER COMPANY -F—Y I N <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# Crl>'r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L YIN T <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY [ <br /> SIGNATURE REGISTERED YIN FEE cuRAEN L_yl N_J <br /> Address ILicense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN N I <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for subdivislonsAarge 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 Permitfor 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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$7500) <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 /> Rerools;if shingles Sewers Service Upgrades AIG Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />