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7 <br /> 813-780-0020 City Of Zephyrhills Permit Application Fax-813-780-0021 <br /> + Building Department <br /> 't 0 Date Hicelved Phone Contact for Permitting <br /> Owner's Name > ... Owner Phone Number <br /> Owner's AddresAS /('���, — Q ( i Owner Phone Number <br /> Xl 9-1 <br /> Fee Simple Thisholder Name Owner Phona Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 t LOT <br /> IF <br /> SUBDIVISION PARCEL IDN t�- (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN = _ DEMOLISH <br /> INSTALL REPAIR <br /> " <br /> PROPOSED USE = SFR = COMM 4J OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK $ r8T m S <br /> BUILDING SIZE � SQ FOOTAGE! �7 HEIGHT L� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING �$ <br /> MECHANICAL $: t?Q VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY CJ OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y7 N FEE CURREN Y/N <br /> Address License# I <br /> ELECTRICIAN. �' COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREK <br /> Address License# <br /> PLUMBER -� COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CU(RREK <br /> Address License# <br /> MECHANICAL r COMPANYD /t!�YTr}n F, <br /> SIGNATURE t1 t�/ t�-t 1 p <br /> Address 5 A. License# =L cS W`t�c� <br /> OTHER, COMPANY <br /> SIGNATURE <br /> REGISTERED I Y 7 N- 1 FEE CURREA" Y/ <br /> Address License# <br /> lllllllllll'1Ill / lllilltllltiPl.11111ltitllill.11 ! lI1llllliillllli !'! 1 ! i <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 dumpsler;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 ail 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. (AtC 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(PloVSurvey/Foetage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />