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813-780.0020 City of Zephyrhills Permit Application Fax-813.780.0021 <br /> i <br /> Building Department <br /> Date Received Phone Contact for Permittingg — <br /> I f t 1 1 r 1 r III l l <br /> Owner's Name ,� C.7� Owner Phone Number I <br /> Owner's Address 29!l Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Om <br /> LOT# �/'� <br /> SUBDIVISION PARCELID# IY-2�' Q 0—g,2}6 0— O <br /> ��// (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTRf j ADDIALT = SIGN = = DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME 1 I STEEL p= <br /> DESCRIPTION OF WORK IC o <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $Q VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y'/N <br /> Address I License#�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Limi <br /> Address License# <br /> MECHANICAL b COMPANY Nus <br /> SIGNATURE t REGISTERED / W FEE CURREN I <br /> �YT/N <br /> Address I5 VI License# or5� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y/N <br /> Address License# <br /> rrtrrrerrrrrrrlrrrrrlrlrrrrrlrlrllllrrrrlrllrrrrtrrrrrrrrrrlrtrltrr <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 alter submittal date. Required onsile.Construction Plans,Stonnwaler Plans wl Sill Fence installed, <br /> Sanitary Facilities tt,1 dumpster:Site Work Permit for subdivisions/large projects <br /> COMMERCIAL. Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)Sol of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plans.Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ali 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(far the owner)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools it shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Foolage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />