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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 1( <br /> Owner's Name C I'M 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 Lf A-V LOT# <br /> SUBDIVISION F PARCEL ID# 0 2—2Z D (0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Q NEWCONSTRB��T SIGN DEMOLISH <br /> INSTALL _ REP <br /> R <br /> PROPOSED USE Q SFR E]23 COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK F-1 FRAME STEEL <br /> I <br /> DESCRIPTION OF WORK �CVVIC-Z✓ 5, -e r- <br /> I V <br /> BUILDING;SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =FLUMBING $ <br /> MECHANICAL -3 <br /> 1$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING F7 SPECIALTY OTHER <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i I v i i I v I i i i i v 2 i v I I I i i i i i a V I i 8 11 i i i i v v I i i i I i N i v i I I i v I i i I i i i i i i i i i v i I i <br /> BUILDER: COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN J <br /> Address License# <br /> ELECTRICIAN COMPANY 4 c.'tv c <br /> SIGNATURE- <br /> REGISTERED Y/ N FEE CURREN LYLN_j <br /> Address 13317 License# FE-C- 1300—IL27 <br /> PLUMBER r COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_X1 N_J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Ly N J <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 subdivisionsfiarge 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&I 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.contrac i t required) <br /> Reroofs if shingles Sewers : Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..neOds ROW <br />