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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department , t <br /> Date Rebeived (/ Phone Contact for Permitting 12, 53Y - 4 1t4 b <br /> c l {��I G{ ' <br /> Owner's Name 1 1 1 } Owner Phone Number -J/ `�+-t y <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS BOre40 fwS a,+h ZcOW I n C <br /> ( LOT# <br /> SUBDIVISION V Y PARCEL 10# �1X ZI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR AD <br /> INSTALL REP/ALT = SIGN = DEMOLISH <br /> e. �' <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION 1�/���BLLOCK/�y�/�Q FRAME = STEEL = <br /> DESCRIPTION OF WORKIV 11 I,VY Q and ate p�I Z S - <br /> BUILDING SIZE SO FOOTAGE ( �+ - 1 HEIGHT <br /> BUILDING $CA, J VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ 1 J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ /-7 / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION O `/ <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO . <br /> BUILDER �n /3 .D�COMPANY <br /> SIGNATURE 1 v REGISTERED N FEE CURREN I Y/N <br /> Address irno tainaLicense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED =1Y/ N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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)working days after submittal date. Required onsite,Construction Plans,Stormwater 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(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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />