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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received P I � � (0'fPitti oz <br /> Owner'sxNam® Owner Phone Number <br /> Owner's-xdiires, -:317.43M' 'g►j Owner Phone Number <br /> Fee Simple;Titleholder Name Owner Phone Number <br /> Fee Simple'rTitleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL-ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL e °REPAIR <br /> PROPOSED..USE = SFR Q COMM = OTHER <br /> TYPE'OF CONSTRUCTION 0 BLOCK - Q 'FRAME = STEEL = <br /> DESGRIPTION'OF WORK- - i = � W4( e_ !DO <br /> BUILDIRIG'SIZE SQ FOOTAGE HEIGHT <br /> $- • --+` VALUATION'OF TOTAL CONSTRUCTION <br /> PC <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> , <br /> =PLUMBING $ <br /> ne— <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =.GAS = ROOFING 0 SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> t - <br /> -BUILDER_ -- _� COMPANY <br /> SIGNATURE - - REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIANF COMPANY <br /> SIGNATURE REGISTERED Y/ N • FEE CURREN Y/R <br /> Address' - License'# <br /> PLUMBER. COMPANY .. <br /> SIGNATURE REGISTERED Y-/ NI FEE CURREK <br /> Address License#; <br /> .MECHANICAL ` COMPANY. <br /> SIGNATURE"" REGISTERED Y/ N . FEE CURREt` <br /> Address- . License.# . <br /> OTHER',-_`. COMPANY <br /> -'SIGNATURE:;;•;:: REGISTERED Y/.N I FEE CURREN Y/N <br /> Address,....., License# <br /> RESIDERfTIAL_;; .Attacti(2)'Plot:Plans;'(2)"sets of Building:Plans"(1)sef oYEnergy Forms;BQ=W Permit_for new.construction,. <br /> a Minimum ten(,10):working?days;aftersulirnittandate::Required onsite;Construction Plans,`Storrrfwater Plans w/-Silt Fence installed, <br /> Sanitary;Facilities; ,l.dumpster;,Site;Work:Permit for:'subdivisions/large projects.'.=. <br /> .;'`.COMMERCIAL Attach+(2pcomplete'sets of�Bulldin"g Plaris plus a Life Safetiy 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 /> SanitaryFacilities&1 dum ster Site Work Permit for<--all:new projects.All commercial requirements must meet compliance <br /> P• <br /> SIGNPERBIIIT AttacFi"(2)'sets:o#;Engineered;.Plans:,:-. <br /> *'*'PROPERTY SURVEY"required for.all.NEW construction:- <br /> _Dire_cu6ns: <br /> Fill=outapplication completely. <br /> Owner•&Contractor sign-back of application,notarized <br /> If over.32500,a Notice of:Commencement is required. (AIC upgrades over$7500) <br /> Agent,(forihe contractor)-or°Powerof,Attomey-(for the owner)would tie someone with notarized letter from owner authorizing same <br /> ; OVER`THECOUNTER PEItMIiTING.., ....: ,.(copy..of:contract<required) <br /> Re roofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) , <br /> .Driveways-Not over Counter if on public roadways.nd ds,ROW <br />