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813-780-0020 City of Zephyrhills Permit Application i FaX-813-780-0021 <br /> 7 Building Department <br /> • Date Received Phone Contact for Permitting <br /> Owner s Name 0 Owner Phone Number C[� n <br /> Owners Address S QQ14fL4nQ , Owner Phone Number I)I 'h <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ` <br /> JOB ADDRESS 1 F ( LOT# <br /> MSSUBDIVISION PARCEL ID# —2—9t <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED B NEW CONSTR B ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE LJ HEIGHT e�UQ-51U1 tS <br /> BUILDING $ o <br /> VALUATION OF TOTAL CONSTRU ION (� �Q <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. v <br /> =PLUMBING $ '1., 1 <br /> // / �t ,� ,V�s <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (,�'- / <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> C : <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE L REGISTERED Y/ N FEE CURREN Y/N <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 CURREA Y/N <br /> Address A License# <br /> OTHER COMPANY I J Inc . <br /> SIGNATURE REGISTERED / YJ�,�/N FEE CURREA Y/N <br /> 1 1 1 Address <br /> l 1 1 1 1 1 1 1 -0 III I I III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i HO e1 1 1 1 icl 1 1#1 1 I 1 1 2— 1 1 1 (1 2— <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(3)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 /> 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 (Front of Application Only) <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 />