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813.78M020 City ofZephyrhills Permit Application Fax-813-78a0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name .(L- Owner Phone Number <br /> Owner's Address I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# a� <br /> SUBDIVISION d C�A PARCEL ID9 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDiALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK^�Q FRAME = STEEL [� <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING (C_^ ' 9 el* , <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Yt�N FEECURREN YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YPN FEECURREi, J YIN <br /> Address 1 License# <br /> PLUMBER COMPANY h Mc � Lc.r� RC G�a> <br /> SIGNATURE REGISTERED FEECURRE� Linij <br /> Address <br /> License# � a p <br /> MECHANICAL COMPANY <br /> SIGNATURE ascisrsaEo v!N me culnR�er Y/N <br /> Address License# l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRM, Y I N <br /> Address License# <br /> IIilllllllllllltlllllllllllllllllllliltltllitttlltllll1111111l11111 <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,Stornwater Plans w!Silt Fence installed. <br /> Sanitary Facilities&1 dumpsler.Site Work Permit for subdivislonsflarge 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 data. Required onsite,Construction Plans,Stornwater 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 /> D1recGons. <br /> 1I t... . . . . . . . . . . l <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> if ovor$2600,a Notice of Commencement is mqulrod. (A/C upgrados ovor$7600) <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 shinglas Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public reedways..needs ROW <br />