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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received 'Z Phone Contact for Permitting — 2 ../ . <br /> Owner's Name <br /> �Lj o n � � � �D LL Owner Phone Number <br /> y ✓� <br /> Owner's Address G Owner Phone Numb tJ <br /> Fee Simple Titleholder Name Y Owner Phone Number <br /> Fee Simple Titleholder Address I I J * <br /> JOB ADDRESS F LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT ® SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> � JJ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE p X �J�P/ SQ FOOTAGE HEIGHT 1 e <br /> =BUILDING Q VALUATION OF TOTAL CONSTRUCTION <br /> $ <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING ® SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ( COMPANY Die el <br /> g,911, L/ <br /> SIGNATURE 16A64nv REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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 CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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 subdivisionstlarge 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&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$2500,a•Notice=of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or P6vVdr.of Attorney,(for the owner)would be someone with notarized letter from owner authonziing;same �+ <br /> OVER THE COUNTER PERMITTING `' (copy of,contracf squired) "�' -'' <br /> Reroofs if shingles • e,:Sewers:" N'iVice'Upgrades A%C .;z Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on'public F6ddways:.needs.ROW <br />