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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 Permitting C�— <br /> Owner Phone Number -O 3 - <br /> Owners pddre_'ss-— " - �� t'iA, A y - Owner Phone Number <br /> i - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F LOT# <br /> SUBDIVISION PARCEL ID# ' <br /> ., (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> ti. R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF•CONSTRUCTION Qo BLOCK Q FRAME STEEL Q <br /> DESCRIPTI ON'.OF'WORICu� ------ 'N /'� C G 2 f L <br /> V; <br /> 'BUILDING{SIZE SQ FOOTAGE HEIGHT <br /> QR;UICDINGW1 $ 3 °� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.0 <br /> =PLUMBING $ <br /> c� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> 0 <br /> I. <br /> a <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES •NO <br /> i <br /> BUILDER�F , D COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURREN Y/N - <br /> Address License# <br /> . <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN <br /> Address License#- <br /> PLUMBER] COMPANY <br /> SIGNATURE REGISTERED' - / N^ FEE CURREN Y/N <br /> ;. <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 License# .. <br /> RESIDENTIAL Attach(2)`Plot Plans;(2)sets•of Building Plans;.(1)set of Energy-Forms;R=O-W Permif fo,new,construction, . <br /> - Minimum ten(10y working days after submittaWate: Required onsita,Construction Plans;Stormwater'Plans.w/Slit 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 otErigineeredPlans. <br /> ••••PROPERTY SURVEY required for all NEW construction. <br /> Dtreatioris: <br /> Fill'out application completely. <br /> Owner&Contractor,sigmback.of_application,notarized <br /> If over$2500,a Notice of Commencement is required. .(A/C upgrades over$7500) <br /> *• AgenC(for the contractor).-or Power of Attorney'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE.000NTER 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 />