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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department (� Q <br /> Date Received , Phone Contact for Permitting <br /> Owner's Name C�� I p�L �a I ^ Owner Phone Number <br /> Owner's Address 2 ct "f Q o wo Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 0 W(90 LOT# <br /> ry / <br /> SUBDIVISION Q 0 WtO L/W -/PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION. 0� BLOCK = FRAME _ -STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING{SIZE SQ FOOTAGE= HEIGHT , <br /> =BUILDING $) (/ O/ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $�J—` 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> I! <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER, COMPANY 1X�YF1w �T fdy''/� <br /> SIGNATURE REGISTERED - Y/ N FEE CURREn 'Y N <br /> Address License# <br /> :ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED I YIN FEE CURREr, Y/N <br /> Address License# <br /> PLUMBER' COMPANY <br /> SIGNATURE .REGISTERED 'Y/ N' FEE'CURREN Y/N': <br /> Address. License# <br /> MECHANICAL" COMPANY <br /> SIGNATURE - REGISTERED Y/ N . FEE CURREt, 'Y/N <br /> Address License# <br /> OTHER COMPANY" <br /> SIGNATURE.'• REGISTERED Y/ N, ' FEE CuRRE?,. I Y/N <br /> Address. <br /> License <br /> ..............., <br /> RESIDENTIAL - `Attach(2)Plot Plans' <br /> s'ts:of Building Plans;.(1)set 4f ERerijy;Forms;R-O'=W Permit for new construction;: . <br /> Minimum ten'(10)working days after Iibmittal dater Required'onsite;ConstructiomPlans;StornwateFPlans w/;Silt Fence Instilled, <br /> Sanihary Facilities&1 dump"stet Slte Work Permit far 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),Woddng days after submittal_date..Required onsite,Construction Plans,:Stormwater-Plans w/Silt Fence Installed, <br /> Sanitary Fa.1. as&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 /> Direction's: <br /> Fill out application completely. <br /> Owner 8"Contractor sign,back of application,notarized <br /> If over$2506,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> '• Agent(fortis contractor),or Power'of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> -.OVER 3HE COUNTER PERMITTING (copy.of contract required) <br /> Reioofs if shingles Sewers Service Upgrades A/C Fences-(Pl6ttSurVey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />