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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 1 <br /> Date Received Phone Contact for Permitting <br /> J' } _ <br /> Owner's Name / T� IVJ�1 Owner Phone Number �1, `�"� /' 1 <br /> Owner's Address ® Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �7,, l� <br /> JOB ADDRESS �o \ � `7T (� �qq 1 rb%\VS, LM LOT#�{��-� [�(� <br /> SUBDIVISION PARCELID# l�—�21- QQA0_Z1�'C1J� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW C.ONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUC71ON = BLOCK Q 1FRAME Q STEEL Q <br /> DESCRIPTION OF WORK e—Too � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $5 / 6� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (� `J AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LYLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN <br /> Address C, p License# <br /> OTHER [����� COMPANY <br /> SIGNATU Wig) <br /> s i REGISTERED Y/ N EE CURREN tYrn <br /> � r/ <br /> Address �1 1 l�1 ��� ��' License# �V� 1 ciso <br /> IIIIIIIIIIIIIIIIIIIIIIIItI1111t11111111II111111t1111111illllllt1111 <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 subdivisions/large projects <br /> COMMERCIAL Attach(3)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 constriction. <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 (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />