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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Q <br /> Date Received Phone Contact for Permitting <br /> 1'1 1 1 1 1 1 1 <br /> Owner's Name e O e Owner Phone Number <br /> Owner's Address a r Owner Phone Number <br /> 1-1 Fee Simple Titleholder �e3 Owner Phone Number <br /> Fee Simple Titleholder Ad s JOB ADDRESS 'Q &PkS+rhLJ15 4--L 315yo LOT# <br /> SUBDIVISION PARCEL ID# 35-Z ^ZI" 5R-d000D— <br /> (09TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER Q <br /> CA- <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME ^= STEEL = <br /> DESCRIPTION OF WORK a .S TGn L <br /> BUILDING SIZE I SO FOOTAGE= HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> F;JIELECTRICAL S 2670 AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL S / VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = f ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY AdiMr4f✓ L <br /> SIGNATURE REGISTERED I / N FEIFCURREA I Y/N <br /> Address 11's-lb LAU AMSS ^ ✓ 6W License# &6010 <br /> PLUMBERF COMPANY CJ� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ��CCs DD-- Q <br /> MECHANICAL � ��CEGISTERED <br /> OMPANY A3 /tL e//� r aC� <br /> SIGNATURE a�/ (� N FEE CURREN/gyp YIN p y�`/� <br /> Address ,/7 t�(, ${)0 J /t L �6 License# /4C / Ore__ <br /> e__ <br /> OTHER COMPANY / <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <br /> RESIDENTIAL Attach(2)Plat 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 dale. Required onsite,Construction Plans,Stormwaler 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 /> Dlrecbons:� <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AX upgrades over$7500) <br /> Agent(far 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 />