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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received J2�✓�� •Phone Contact for PermittingT1r1'TTr=............ ......... ......71= F_ <br /> ?? <br /> Owner's Name © CJ/U iZ Owner Phone Number <br /> Owner's Address \ 1 5 Owner Phone Number <br /> Fee Simple Titleholder Name o Owner•Phons Number <br /> Fee Simple'Titleholder Address <br /> JOB ADDRESS l LOT# <br /> SUBDIVISION PARCEL ID# / <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED i . NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE i SFR 0 Comm = OTHER <br /> TYPE`OF CONSTRUCTION = BLOCK FRAME _. STEEL <br /> DESCRIPTION OF WORK l <br /> BUILDING SIZE SQ FOOTAGE HEIGHT . . <br /> I <br /> BUILDING $ 40 <br /> ®t,/ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> l <br /> =PLUMBING $ <br /> 4,N517v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS ® ROOFINGF7 0 . SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> P <br /> BUILDER ! ` f - COMPANY <br /> SIGNATURE (�`�((J✓ I REGISTERED Y/ N FEE'CURRE� Y/N <br /> Address -License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N. <br /> 'Ad License License# <br /> A. <br /> P.LUMBER1, COMPANY . <br /> SIGNATURE REGISTERED Y/`N• FEE CURREN --YIN <br /> :I. <br /> Address- License <br /> ;.'..MECHANICAL COMPANY <br /> "'SIGNATURE"" REGISTERED Y/ N.. , , FEE CURREN <br /> Address `' License-# <br /> .OTHER F.: COMPANY <br /> SIGNATURE_. s REGISTERED Y/ N FEE'CURREN Y/N <br /> Address,:. _ License# <br /> -'RESIDENTIAL,;;- Attach,(2),,PIofP,lans '(2)ssefsof Building'Plans;'(1�)'set of-Energy:Forms;R=O.;W Perrnit,for new.construction; <br /> _._.. <br /> ..::.Minimum:teri,(t10)woiking.days sftersutimittal:hate.'Required1onsite;'Constnidtion'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 AttacFi'(2f§etsofEngineered'Plans.; <br /> ****PROPERTY SURVEY required for.all.NEW construction. <br /> Directions:: .:_;.;;:.:::., . <br /> FIII:out:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> 1f over,$2500;a Notice.of Commencement is required. (AIC upgrades over$7500) z, <br /> Agent(for ttre co ntractor),or,Powerof Attorney(for'the owner)would be someone with notarized letter from owner authorizing same <br /> -OVER:THE�000NTE_RPERMITTING,:.. (capy.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 />