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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received C `C(�-(� Phone Contact for Permitting — <br /> Owner's Name 5 %4 (IdC Owner Phone Number �),s— -7 <br /> Owner's Address f'G Owner Phone Number 6 7' 23 16 66 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,�-+ <br /> JOB ADDRESS 11 t/� I-L• LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM LE� 1 OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK �h "�� / F-f `` f( /C6— <br /> BUILDING SIZE - SQ FOOTAGE HEIGHT <br /> )Z":fBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> b 6 c) <br /> =ELECTRICAL $ AMP SERVICE 0 P GRESS RGY 0 W.R.E.C. <br /> L <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LX1 N FEE CU Eh Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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/Slit 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 upgrades over$7500) <br /> from owner authorizing same <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter ; ,•. „ - <br /> OVER THE COUNTER PERMITTING ,(copy af.,contract required), ; ;;F;;;•:,.. <br /> Reroofs if shingles Sewers Servlce,Upgrades•A/C,� Fences(Plot/Survey/Footage) :r <br /> Y p•.c ,,:. ays..peeds-•R01/11.; <br /> Driveways-Not over Counter i on ublic roadw t <br />