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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 1 , <br /> Date Received Phone Contact for Permitting Z — <br /> i � rt � � rr <br /> Owner's Name G `LI 1 �(Ar j� Owner Phone Number <br /> Owner's Address 402 r r r—z/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address aa <br /> JOB ADDRESS �W` f FWD /v �-,/�/Ifi�``� LOT## <br /> SUBDIVISION �� PARCEL ID# 'Z�'b✓ SAC C7'VL�KJ �/� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE E;e SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK[ U= �FRAME <br /> /7 = STEEL <br /> J = <br /> DESCRIPTION OF WORK t"' S (D x►►� <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> �DI <br /> BUILDING $ O VALUATION OF TOTAL CONSTRUCTION <br /> (�r"fr <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �, 2 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA =YES NO <br /> BUILDER 1��•�� COMPANY a1 e t <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt Y/N <br /> Address �7 l6 License# I C6�C/57D <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN ' Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn L1/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREr LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK I Y/N <br /> Address License# <br /> � � [ IIIIIIIIIIIIIIilllllllllt_ IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-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 Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />