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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 8 _5C�13 <br /> Date Received Phone Contact for Permitting <br /> Owners Name Owner Phone Number <br /> Owners Address J p� 80k 35 I f(I S 3';A75Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS LOT#nn <br /> SUBDIVISION / PARCEL ID# l o'er <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW.NSTR I vl ADD/ALT Q SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q¢ nFRAME <br /> � �= STEEL Q /irn <br /> DESCRIPTION OF WORK �« ��O 7�f 4 4Y , �? 'q do 'A �o -i" 34d 0 :4)1 t`f <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> M'MECHANICAL $ CC VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = OROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATUREi REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILN <br /> Address Q ,,j� License# <br /> MECHANICAL (F �GYL,.r COMPANY w I r ls f-Jf/ ne,Cr Fv- ( 2tC' <br /> SIGNATURE (1 REGISTERED Y/ N FEE CURREN Y/N <br /> Address / -T1 5 6 License# L <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> IIt1111111111111111111111111i111111t1111111t111t111llllltlltt111111 <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 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,Stonnwater 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 /> Directions:. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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(Plot/Survey/Footage) <br /> Driveways-Not'over Counter if on public roadways-needs ROW <br />