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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> -' Building Department ' <br /> Date Received 6/2 9/.(9 1 Phone Contact for Permitting — <br /> Owner's Name G Iy O '� (S Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple'Titleholder Name Owner Phone Number <br /> Fee Simple;Titleholder Address F_ <br /> JOB ADDRESS V 1 �j -F,,,+ Kin L 1 F f 5?,,,t LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW <br /> CONSTR R <br /> ALL REPAIR SIGN = = DEMOLISH <br /> INSPROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION =s BLOCK 0 FRAME = STEEL = <br /> i <br /> DESCRIPTION OF WORK /-I k,`' 4r C-n.►1 Coy M)l <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> v <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 12U k I✓ <br /> =ELECTRICAL $ AMP SERVICE Q W.R.E.C. <br /> i v <br /> =PLUMBING $ ,lk e—.T—(' g6a 7�6.3 <br /> j [J <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION II9 <br /> � l <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> i <br /> BUILDER i COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY C' '-Y of ZeP� rl;Ps <br /> SIGNATURE REGISTERED Y/ N._J 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/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 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />