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B13-780-D020 City of Zephyrhills Permit Application Fax-8i3-780-go21 <br /> Building Department (ter <br /> Dhte Received ^ phone Contact for Permitting <br /> Owners Name •"- Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS i( "� iC--LOT# <br /> SUBDIVISION a PARCEL iDB <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME Q STEEL <br /> DESCRIPTION OF WORK •2W <br /> BUILDING SIZE I i SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C.. <br /> PLUMBING $ - ^p.,r1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V (/ <br /> =GAS = ROOFING Q SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/,N FEECURREt Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEECURREh YlN <br /> Address License 0 <br /> PLUMBER COMPANY h M-o'­" L=C 1p,'9 <br /> SIGNATURE ^� REGISTERED FEECURREt` LjLt4 <br /> Address / License# j a Q <br /> MECHANICAL COMPANY —� <br /> SIGNATURE I Y/,N reecurazz vt-N <br /> Address i Ucense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURM Y/N <br /> Address License 9 <br /> Illllllllllillllllillltlllltllllllllllllll { l11111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Slormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for subdivisionsnarge 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 Ion(10)working days after submittal data. Required onsite,Construction Plane,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All cominerclal requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> -1 { 1 11 • . <br /> i. <br /> li�+��{ t• ` `• Ili LE Wes{ lJ <br /> Directions.. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (NO upgrades over$7600) <br /> Agent(for the contractor)Or Power Of Allomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Raloofs if shingles Sewats Service Upgrades A/C Fences(PlaMurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />