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• 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owners Name - Owner Phone Number / <br /> Yw— <br /> Owner's Address ( / 7ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addresss11t, A 7� <br /> JOB ADDRESS 707 o-o �i��ion) 4' A0 O LOT# <br /> SUBDIVISION 6 PARCEL ID#";6�AAA��� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR ADD/ALT = SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME ® STEEL = <br /> DESCRIPTION OF WORK I la 9701 4 , aWc✓�� <br /> ' r <br /> BUILDING SIZE _ r SQ FOOTAGE HEIGHT <br /> - ➢ 1 1 I t . 1 1 l A . 1 1 <br /> ®BUILDING $ 0b VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $j� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ go;lb k6i` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS ` FLOOD ZONE AREA =YES 16 <br /> BUILDER �',7�� COMPANY <br /> SIGNATURE ,) ��CC EGISTERED Y/ N FEE CURREK Y/N <br /> Address 1r 0 MIOW <br /> �F License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr. LILN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItI <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 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,Storrmwater 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 /> - I I I I I 's,- ..mow" B-&-. . .. .-.Pld. . .- 1�1 <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. (A/C upgrades over$7500) <br /> j Agent(for the contractor)or Power of Attomey(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 />