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8i3-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name C r R T i S : : Owner Phone Number �)3 - a <br /> Owner's Address 112 g. �� e S Owner Phone Number <br /> Fee Simple Titleholder Name• Owner.Phone Number <br /> Fee Simple.Titleholder Address <br /> JOB ADDRESS S LOT# <br /> • <br /> SUBDIVISION PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE)' <br /> WORK PROPOSED. NEW,CONSTR LT Q'. SIGN Q �] DEMOLISH <br /> e INSTALL �• EPAI <br /> PROPOSED USE 0 SFR 0 COMM, OTHER, C3 . <br /> TYPE OF CONSTRUCTION; i 'BLOCK ':o '` FRAME STEEL,Q: . <br /> DESCRIPTIOROF WORK, `1� - 'r(7(.3C <br /> BUILDING,SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ V- VALUATION OF TOTAL CONSTRUCTION <br /> t� a . <br /> ELECTRICAL $ : '- AMP SERVICE PROGRESS ENERGY" -W.R.E.Qe. . <br /> =PLUMBING <br /> MECHANICAL $ 'VALUATION OF MECHANICAL INSTALLATION �ti! <br /> =GAS ROOFING SPECIALTY = 'OTHER <br /> FINISHED',FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY' <br /> SIGNATURE, REGISTERED Y/ N FEE CU}RRE�Y/N <br /> Address, License# l <br /> PLUMBER <br /> COMPANY <br /> SIGNATURE REGiSTERED Y/ N '.FEE.CURREP- Y/N <br /> Address License <br /> MECHANICAL " COMPANY' <br /> SIGNATURE REGISTERED . Y/'N I FEE CURRE1, • ; Y/N . <br /> Address License* <br /> OTHER' — _ COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN, "Y/.,N <br /> Address 1 l/ 1 . 3S License# <br /> RESIDENTIAL Attach(2):Piot Pians;(;)°sets of Building Plans;(1)-set of,Energy.Forms;R=0-W.Permit for new construction, <br /> Minimum ten•(10)working,days after submittal`date...Required onsite,Construction Plans,Storm water Pians.w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Worts Permit for subdivislonsliarge projects' <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-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 Facilitles&I'dumpster:Site Work Permit for all new•projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT.. Attach-(2)sets of.Engineered Plans: <br /> - ****PROPERTY,SURVEY required forall,NEW construction. <br /> i <br /> Directions: 114+ <br /> Fill out application completely. <br /> Owner.&.Contractor sign.back of application,notarized <br /> If over$2500,"a Notice of Commencement Is required. .(AfC upgrades over$7500) <br /> Agent(for the contractor)or Power cf Attcmey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rercofs`If shingles Sewers Service Upgrades-A/C; Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />