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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Perrnittin -3 <br /> Owners NameZAOwner Phone Number 3- <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J O `�.Z LOT# � <br /> SUBDIVISION PARCEL ID# Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE). <br /> WORK PROPOSED NBN.00NM ADD/ALT = SIGN = = DEMOLISH <br /> = INSTALL' 'REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION ; BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK 2 L') Cyr <br /> BUILDING SIZE SO FOOTAGE / HEIGHT <br /> =BUILDING $, Q VALUATION OF TOTAL CONSTRUCTION <br /> Q r <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q 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 AYES NO <br /> r � <br /> BUILDER r COMPANY <br /> SIGNATURE0_),&�i)� REGISTERED' Y/ N FEE CURREN 3 Y/N' Lt✓� <br /> Address- License# C <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 <br /> Address_ License'# —� <br /> MECHANICAL. CO. MPANY <br /> SIGNATURE REGISTERED 1, Y/ N FEE.CURREA <br /> Address License# <br /> OTHER COMPANY, <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> i i f. l.R.'f R ! f./ 1 E. � L.1.B.6.I.i. 1 f 1 t..t f I. 1.t.E.E t it i E 1.1i ! 1 .f i 1, l. 1 >I t Li..t !! ii.l.1 is .►.t i. i M.E. l.i.i i !. A 1..1 <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,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. (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 />