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813.760-0020 City of Zephyrhills Permit Application Fax-8113-7e0-0021 <br /> Building Department {�c <br /> Date.Received .Phone Contact for Permitting <br /> Owners Name D,\t-- Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address[ <br /> JOB ADDRESS "'� (� S LOT# <br /> SUBDIVISION 1 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADWALT = SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK <br /> `��= FRAME = STEEL = <br /> DESCRIPTION OF WORK -eL o —��t \ rN <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R,.E.C. <br /> PLUMBING $ O ^� %)G -1 � <br /> =MECHANICAL $ lJt� VALUATION OF MECHANICAL INSTALLATION `V <br /> =GAS = ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATU REGISTERED FEECURR N YIN <br /> Ad s License# 1 1 a 0 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEECURR9. Y <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LILN <br /> Address License <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111 <br /> OF- <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facliflies&1 dumpster;Site Work Permit for subdivisionsnarge 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,Slormwater Plans wl 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 /> ttt9 . . 1 . <br /> 1 L{ • { L• <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$7600) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />