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813-780.0020 City of Zephyrhills Permit Application Fax-813.78M021 <br /> Building Department <br /> cr <br /> Date Received Phone Contact for Permitting. 7 @ !� <br /> 't rrrrrrr T tiles 1"i - <br /> Owner's Name 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 �� ' -LOT.# 1� <br /> SUBDIVISION 'I b PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK �^ f � <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is I AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> �LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address license# <br /> PLUMBER` � REDG s1PeANY RED -;9N FEE ccuc <br /> SIGNATURE ,f c� uRR�Er, Ly/Ny <br /> Address .Qx' `� _-+ 10 License ! ['_ <br /> MECHANICAL COMPANY <br /> -SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> Illllllllllllllllllllllllltlltllllltlllllllllllltlllllllllllllllltl <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,Stonnwater Plana w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,She 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,Stonnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities 8r 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$2600,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(rshing(es Sewers Service Upgrades A/C Fens(PloVSunrey/Fcotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />