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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department g <br /> Date Received Phone Contact for Permitting <br /> Owner's Name S Owner Phone Number <br /> Owner's Address 2 9 ,,9 -4— Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address q <br /> JOB ADDRESS l�� J[I --� LOT# <br /> SUBDIVISION �v-r�S�� ��� PARCEL ID# eatoai © tL:s <br /> (OBTAINED FROM PROPERTY TAX NOTICE) _ <br /> WORK PROPOSED e NEW CONSTR M ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION _: BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK JIJj0_W eM -e O\ cr Ok-c—G <br /> BUILDING SIZE SQ FOOTAGE O� HEIGHT <br /> l <br /> ill-DING $T�" LEI) 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 /> , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 <br /> BUILDER - COMPANY <br /> SIGNATURE REGISTERED ,_' h N FEE CUR Y/N <br /> Address ?jgo <br /> � License# C�c L3 <br /> i <br /> i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 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;-(-I)-set of Energy-Forms;R-O-W-Perm it-for-new-construction, - -- <br /> ---"Minimum ten(16)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(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. (AIC 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 if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />