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` 813-780-0020 City of Zephyrhills Permit Application Fax818-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Pertnittin <br /> Owners Name V Cie Owner Phone Number t�J �� <br /> Owners Address (�' S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (� (� <br /> �JOB ADDRESS 5I / J s LOT# � <br /> SUBDIVISION PARCEL ID# I ~ 1 10090 <br /> �Q 0 90 <br /> ( BTAINED FROM PROPERTY fAX NOTICE) <br /> WORK PROPOSED I NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION �' BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK �'{�` t Ill <br /> /t r <br /> BUILDING SIZE I I JK1 SCI FOOTAGE HEIGHT Q <br /> TITI"ITT rT•1 1 1 1 1 1 4 1 1 1 1 1 1 1 <br /> UILDING $ C-M VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q 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 ANY <br /> SIGNATURE REGISTERED / N FEECURREK Y N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED / N FEE CURREN p je�VN NN <br /> Address I License# G130 G v <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, <br /> Address License# <br /> IIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllllllll <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 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.Al commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> 44 4Directions: <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 Attomey(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />