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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received Phone Contact fog Permitting- 115 <br /> Owner's Name Y C. 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 Li a- <br /> SUBDIVISION PARCEL Ii (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOi USE 0 'SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Qi <br /> 13LOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE L SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONStkOCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> *PLUMBING 1$16(00-00 1 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =9AS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD,ZONE AREA =YES NO <br /> .......... A ................................................................................. ............ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> PLUMBER COMPANY MEW —- 1"10Q+1o= <br /> SIGNATURE REGISTERED FEE CURREN Li J <br /> Address IL4511 F,56k) ero V)a. I License#1 L"t55--au? <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEEqURREN <br /> Address License#.`RR <br /> OTHER _..COi1qPAMY <br /> SIGNATURE REGISTERED �N FEE CURREN <br /> Address License# <br /> .................... .............................................. H Rill li"+".H+ <br /> 4+M-H+ Hit H <br /> RESID.ENTIAL Attach(2),PldtPlans;(2)sets of w Build!n-g"!Plans;(1)"set of EiiergyForms';kiiiii-Permit for now construction, - <br /> Minimum.ten(I Q)_wqrklng-.`days after submittal date.;Required onsite.'Constructioni Stormwateri w/Silt,Fence installed, <br /> Sanitary Facitilies.&il,dumpstea';,,Slte Work Permit for subdivislo.nis./largeprajects <br /> COMMERCIAL Attach(3)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 wit Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> y l- <br /> SIGN PEPAIT Attach(2sbts of Eng nPerid 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. (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 .•(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter If.on public roadways-needs ROW <br />