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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 I— 7 <br /> Owner's Name i % .' �/. Owner Phone Number /3 <br /> _ tiS <br /> Owner's Address S 7 r (,/ 2s / ��' / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��J �/ / v �� z'' LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE a�' y SQ FOOTAGE= HEIGHT <br /> K'IBUILDING $/ 0 Q c VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / o V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS n ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER C/E COMPANY <br /> SIGNATURE ✓Ti=Z" C REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 subdivisionsAarge 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 cwntractor).or Power.:of Attomey(for:the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING` '(copy b(contracC"equired) <br /> Reroofs if shingles Sewers ' Service Upgrades A/C E :'•Fences(Plot/Survey/Footage) <br /> Driveways-Not ov&-Counter if'n public roadways_,ngeds.ROW ' <br />