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• 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owners Name /�j ) Owner Phone Number <br /> Owners Address ✓ 00 J-a �•�,.,,o owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tdleholder Address ) ,y��t /� ` <br /> JOB ADDRESSD,IL(�GI.rLL Gti//////�C QKK /a JJLOT# <br /> SUBDIVISION fill GUV PARCEL ID#J gR <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw coNSTR ADDIALT = SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK / e fAl <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ ro ; D� VALUATION OF MECHANICAL INSTALLATION <br /> =CAS =(j ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA L Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREA <br /> Address License# <br /> MECHANICAL COMPANY 84S <br /> SIGNATURE /y REGISTERED Y/ N FEE CURREN I Y/N /1 <br /> Address 4 1 eAJ License#I enco q 15 T <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/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,StGrmwater Plans w/Sift 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:I <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 AIC " Fences(Plot/Survey/Footage) <br /> Driveways-Not over Couriter if onpublic roadways..needs ROW <br />