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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 a I's <br /> Owners Name G Ti t 1 V` f_ Owner Phone Number <br /> Owners Address ?✓ 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address i <br /> JOB ADDRESS LOT# {�� <br /> SUBDIVISION o 4"- '��'p? i ! PARCEL ID# a3.7� 'r '017 <br /> (DETAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT SIGN 0 �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK ? ( l <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> a <br /> =ELECTRICAL ($ 7 AMP SERVICE Q PROGRESS ENERGY Q 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 /> . . . . . . . .. . . 1.1 —. . .. . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRER <br /> Address (� License# <br /> ELECTRICIAN I COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y!N <br /> Address License# F <br /> PLUMBER COMPANY �~ <br /> SIGNATURE REGISTERED Y/ N FEE CURRER LILN <br /> Address i License <br /> MECHANICAL COMPANY + Qt^/tttES <br /> SIGNATURE REGISTERED Y N FEE CURRER / !N ,r <br /> Address 0"L� �1L License# � C,IcI`'v�, /I(J � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREn I Y I N <br /> Address License# <br /> 1111111111111111111111111111 / 1111111111ltlttlitillillillilltlllllli <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,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs'd shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />