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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department S Q <br /> Date Received Phone Contact for Permitting aci — �9 <br /> Owner's Name 2 Owner Phone Number <br /> Owner's Address 53o Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 2� <br /> JOB ADDRESS M WLI Z_ LOT# ^1 <br /> SUBDIVISION121,11,�"641 PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTRe ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION OF WORK fVC—roof Q l Q 3 <br /> BUILDING SIZE SQ FOOTAGE -{ HEIGHT C� <br /> =BUILDING Is g _ qp•� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $(� 1 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> a�=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER C� J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ()G <br /> BUILDER COMPANY pcdiW4C. <br /> SIGNATURE ( REGISTERED CD1 N 1EECURREI, I YIN <br /> Address 5'3 ' ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y l N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREP Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA LaN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIt111t1111111111111111111111t1111111111t11111 <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)marking days after submittal date. Required onsite,Construction Plans,Stornwater 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 /> Directlens:" <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$25W,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 />