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81a7eaoo2o City of Zephyrhills Permit Application Fax-813-7811-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owners Name •�- Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS v P Tr 1G. v 5 LOT# �+ <br /> SUBDIVISION 'r PARCEL IDfl <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR r7 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK^�0 FRAidE = STEEL �] <br /> DESCRIPTION OF WORK 2C..�3 —R� l • `I <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING S <br /> =MECHANICAL $ 11V VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING r7 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECGiW? Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YI.N I FEECURREI, Y/N <br /> Address License# <br /> aeO��C Q <br /> PLUMBER COMPANY M c � <br /> SIGNATURE REGISTERED ,N FEECURREt, Y/ <br /> Address Ucense# tj a D <br /> MECHANICAL COMPANY <br /> SIGNATURE IY/N I FEE CURREN I YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Ly I N <br /> Address License# —� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIf11111111111111111fill <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t dumpster:Site Work Permit for subdivislonsnarge 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 onsile,Construction Piano,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Worts 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 ovor$2900,a Notico of Commoneement is required. (A/C upgrados ovor$7b00) <br /> Agent(for the contractor)or Power ofAttomey(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 Ser ice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />