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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department J frIn <br /> Date Rece,'idd Phone Contact for Permitting �� �1 — 011 JU3 -- —✓ <br /> Owner's Name a Owner Phone Number <br /> � 1`Z Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name I. Owner Phone Number <br /> Fee Simple Titleholder Address 1' l <br /> JOB ADDRESS F-35cit rRv r Lau LOT# <br /> SUBDIVISION PARCEL ID# L �D ' 2 to <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR= ADD/ALT = SIGN = = DEMOLISH <br /> 4T INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK f <br /> i <br /> BUILDING SIZE 1 31 SQ FOOTAGE��` HEIGHT <br /> 1-144 <br /> BUILDING $ —'/g�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ (�� AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> QPLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> fA <br /> BUILDER COMPANY Cl P IC loor n 6 V r W <br /> SIGNATURE &n t, REGISTERED Y/-N FEE CURREN Y/N <br /> 7 Address 1. License# <br /> ELECTRICIAN rn COMPANY 1 (P A j <br /> SIGNATURE a lX/ REGISTERED Y/ N J FEE CURREN /��Y/N �rJi��,�1'I <br /> Address 0�3 �t " License# ez v l �i• <br /> PLUMBER ��'�/�n COMPANY <br /> SIGNATURE n REGISTERED Y/ N FEE CURREN 1 <br /> Address b Q V S 1 License# `� <br /> MECHANICAL J(lt (� 9 COMPANY Cuts1 1 1 <br /> SIGNATURE �s'�'' � REGISTERED Y/ N FEE CURREN <br /> Y/N <br /> Address License# 1. <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 Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,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 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />