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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 7 Q 7� <br /> Date Received '� + ` Phone Contact for Permitting V� (� <br /> Owner's Name ��jj�l� Owner Phone Number <br /> Owner's Address 1CRI/L Sl Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 Q�` �°� p/LOT# <br /> SUBDIVISION <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR, Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q( BLOCK � FRAME = STEEL Q <br /> DESCRIPTION OF WORK 'l r w PVI 8,FR✓ft MOM— <br /> BUILDING `�(j)M— <br /> BUILDING SIZE I = SQ FOOTAGE HEIGHT <br /> BUILDING $�n r GV0 -VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ - AMP SERVICE = PROGRESS ENERGY = W.R.E.C. / <br /> =PLUMBING $ Aft <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER /a,& / <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO f d / <br /> „L <br /> BUILDER ` OQ to COMPANY / <br /> ZA, <br /> %1 ,WJ <br /> SIGNATURE REGISTEREDI Y/ I CURREN I,,Y/N / �t T ` ` \ <br /> Address C t��J License# U l �b <br /> Ott <br /> ELECTRICIAN 1 COMPANY C� <br /> SIGNATURE REGISTE ED Y/ N FEECURREt Y/pN� <br /> Address / License# <br /> 'PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address F License# <br /> I t l t l l l l l l l t l l l l l l l t l l l l l l l l l l l t t l l l l l l l l l l l l l l l t l l l l l l l l l l l l l l l l l l <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 subdivisionsharge 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,Stonnwater 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />