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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> r <br /> Date'Received Phone Contact for Permitting — <br /> Owner's Name Owner Phone Number <br /> Owner's Address 563� l S Owner Phone Number <br /> Fee Simple.Titleholder Name Owner Phone Number <br /> Fee SimpleiTitleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# ' —� Z�—00(0-1 bO _00U o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONST� ADD/ALT 0 SIGN = = DEMOLISH ` <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF,CONSTRUCTION nBLOCK Q.. FRAME STEEL Q <br /> DESCRIPTION OF WORK r Y v� � lCe <br /> BUILDING SIZE '4 FOOTAGE HEIGHT <br /> =BUILDING $ LJ7p0 © VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =,'GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDERI: COMPANY (1/Nt', PPqC� <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address s 1,50 4 a/ L4,v, License# 79f <br /> i - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN Y/N <br /> 1 <br /> Address License# <br /> PLUMBER: COMPANY <br /> SIGNATURE REGISTERED- "Y/ N'-,: FEE'CURREN Y/N <br /> Address- License# <br /> MECHANICAL- COMPANY- <br /> SIGNATURE REGISTERED Y./.N FEE CURREf` <br /> Address License# <br /> OTHER, { -COMPANY <br /> SIGNATURE REGISTERED Y/- N -F,EE'CURREt,- Y/N <br /> Address License# <br /> „ RESIDENTIAL Attach.(2)'Plot,Plans;(2)sets-of Building Plans*.(I);set of Energy,Forms;R-0=1N-Permit for.new,construction'_ <br /> Minimum ten'(10)uvorking:days.after submittal'_date:_Requ'ired=onsite,Construction Plans,-Stormwatef Plans w%Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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/,SIIt 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 ofEhgineered-Plans. - <br /> "PROPERTY.SURVEY required for all NEW construction. <br /> Dire'ctiions: <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 (copy of contract required) <br /> .Reroofs.ifshingles Sewers Service`Upgrades 'A/C ' Fences(Plot/Survey/Footage) <br /> -Driveways-Not over Counter if on public roadways..needs ROW <br />