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i 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a� H_ 1—I _ �l I 1 q <br /> Phone Contact for Permitting �1^ <br /> Owner's Name C�- ��l� Owner Phone Number <br /> Owner's Address In �C Owner Phone Number <br /> ? <br /> Fee Simple Titleholri N m Owner Phone Number <br /> Fee Simple Titleholder Address, ICJ <br /> JOB ADDRESS ��� n — LOT# <br /> SUBDIVISION I� { f1 PARCEL ID# O'�)OLD--A J -0196 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 Ei� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE E2— SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION f= BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK GIG 10 a +0n ��SC '(1Q,C_A— <br /> BUILDING SIZE SQ FOOTAGE L= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 0 <br /> [ 9 ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> / le, <br /> =GAS = ROOFING 0 SPECIALTY EEff/ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I l i i f l f I L S I I I I l i I I i 3 i i 1 3 1 i l l dd <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address {� License# <br /> ELECTRICIAN COMPANY r' _ CMQ P4C'�O A <br /> SIGNATURE REGISTERED / N FEE CURREN I Y//�N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address /�_ (Liiceense# <br /> MECHANICAL * COMPANY �`1�S t'_0 e�Y <br /> SIGNATURE REGISTERED I i,_YYN I FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIII1111111111111111111111111 'I,IIIII11111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for neWConstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsParge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slornwater Plans wl 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 (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 />