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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact Pernnitting <br /> am 1 x l( pt 7 K� J� <br /> - - - -��TTa'7TT <br /> Owner's Name f 1 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` n <br /> �rlAkC, LOT# <br /> SUBDIVISION 1�I e.rC.IC�G I PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK 1r <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> U;KUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / /�-� - <br /> =GAS = ROOFING Q SPECIALTY = OTHER (j llJf <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt I Y/N <br /> Address n License# <br /> PLUMBER r �~ (2- COMPANY 6 7 EECUR <br /> SIGNATURE `� 1 t REGISTERED Y N FEE CURREN I Y/N <br /> yy Address �• f. <br /> , 1p ' License# Q y <br /> C-_ LJO-)'L .p <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERt� Y/ N FEE CURREr. Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N <br /> Address License# <br /> 1111111111111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItII <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(1 D)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivlsionsAarge 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 /> Mlnlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonmwater 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$7800) <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 /> Remors if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />