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813-780-0020 City of Zephyrhills Permit Application Fax-813-760.0021 <br /> Building Department <br /> 1 Date Received ^ Ptmne Contact for Perntitting <br /> Owners Name •"- Owner Phone Number <br /> Owner's Address Owner Phone Number F- <br /> Fee Simple Titleholder Name C Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , LOT# <br /> SUBDIVISION ��d2� � PARCELID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT LJ SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q Comm = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK 2CJ�� -71'r{ 4-1 <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> LUMBING s <br /> =MECHANICAL s LJ�✓ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECURREt, Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/N FEECURRO, Y/N <br /> Address license# <br /> PLUMBER 4 COMPANY <br /> SIGNATURE REGISTERED FEECURRED Y/ <br /> Address Llaense# - <br /> MECHANICAL COMPANY <br /> SIGNATURE I Y/N FEECURREA I Y FN <br /> Address Ucatse# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CUltftE, Ly/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt111i11111111111111 <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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster:Site Work Permit for subdtvlstonsrlarge 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,Stonnwater Plans w/Silt Fence Installed, <br /> Sanitary Faciities&1 dumpster.Site Work Permit for all new projects.ALI commercial requirements must meet compliance <br /> SIGN PERMIT Altach(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$2500,a Notico of Commencemont Is requlmd. (A(C upgrades over$7600) <br /> Agent(for the cordractor)or Power of Atiomey(for the awner)would be someone with notarized tester from owner authorizing same <br /> OVER THE COUNTER PERR1ITTING (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 />