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"813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r Permitting <br /> Phone Contact fo <br /> Owner's Name 1­11 ITTTrM ...........rrrrrrrri Ow I nor Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F_ <br /> JOB ADDRESS F LOT# C�---^� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS IQ ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 a 1 1 2 1 1 2 2 1 a 1 1 1 1 a 1 1 2 2 1 1 1 1 1 2 6 1 2 1 1 1 1 1 2 1 2 2 1 2 1 1 1 2 1 1 2 1 1 1 1 1 1 1 1 N I I I a 1 N 1 1 1 1 1 1 1 N I I I I 1 1 1 1 1 1 1 1 1 1 1 5 1 1 N 1 2 1 1 a a <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . LYLN_j <br /> Address License# <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN [_LLN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_X1 N_J FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ - <br /> HHHH! HHHHHHHHHHHHi <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&-l-dumpsterZite-Work-Permit-for subdivisions/large projects_ <br /> COMMERCIALAttach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-07W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SlIt'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. (AJC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter frdM,,owner;4;aUthorizIng samer. <br /> .., <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />