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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 /> Owner's Name -A S Owner Phon&Number <br /> Owner's Address ,j<C-,4<7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F — <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS nnS`-I 'T/�d2 OC//!/� �/✓� LOT#" <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' [ SIGN 0 Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION E:a BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK d� �e /e <br /> BUILDINGSIZE F SQ FOOTAGE HEIGHT <br /> =BUILDING $ - VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 1® PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =tUIECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER " <br /> FINISHED}FLOOR ELEVATIONS � 7 FLOOD'ZONE AREA =YES- ,NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> a - <br /> le <br /> ELECTRICIAN �. COMPANY v Sr {f'` G� t <br /> SIGNATURE REGISTERED ;_ Y N .. FEE CURREN Y/N <br /> Address License#" <br /> .PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURR�EN `Y"/.N <br /> Address License#'I I <br /> MECHANICAL _." COMPANY <br /> SIGNATURE", REGISTERED Y/ N FEE CURREN ' Y/N <br /> Address License# <br /> OTHER. r. COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREn <br /> Address License# <br /> "• RESIDENTIAL" Attach:(2,),Plot Plans;('2)sets of Building'Pians;"(1)set of"Energy.Forms;'-R;O-W Permit for new wnstruction, <br /> Minimumten"(.1O)"workin0'6ays'after submittal date.-'Required onsite,'Construction Plans,Stormwater 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 Ehergy Forms.R-O-W Permit for new construction. <br /> -Minimum ten(10)working days after.submittal,date' Required'ansite,Construction Plans,Stormwat_er 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 a!1 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 contract required) <br /> Fteroofs if shingles Sewers _ Service Upgrades:A/C Fences(Plot/SurveylFaotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />