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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> QIL <br /> Date Received, y Phone Contact for Permitting F, 3 ! — �� <br /> Owner's Name ion/ V Q Owner Phone Number <br /> Owner's Address sc)7 2� �' 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E�0LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME LLS��TEEL Q <br /> DESCRIPTION OF WORK�j 1,A,4,P T 14aa" ' e.J&A <br /> BUILDING SIZE ::1SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ 20 <br /> O ` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address f�,�Liicense# <br /> PLUMBER COMPANY /( �'"`eGwliea- <br /> SIGNATURE REGISTERED 'Y/ N FEE CURREN <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 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 subdivisions/large 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 jupgrades 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:.,;;;c:,,.uService Upgrades A/C . Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW :.:n.:.' ,s?";'•ii "` :"'':'r :`, <br />