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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 tf - <br /> -�Trrr r-r - I I <br /> Owners Name .Owner Phone Number <br /> v , Z.0 <br /> Owner's Address 2ci L 35 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS oo / Zc LtL �L LOT'# <br /> SUBDIVISION zw G PARCEL ID# 49iI-RC/-W-aur,049- OOOO— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �- SIGN = = DEMOLISH <br /> R INSTALL B REPAIR <br /> PROPOSED USE = SFR = COMM � OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 4LI' J <br /> BUILDING SIZE SQ FOOTAGE f 1 HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ . AMP SERVICE ' = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ vV v 3 z. <br /> MECHANICAL 1$ ,9 VALUATION OF MECHANICAL INSTALLATION'- <br /> C7, <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED- Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY a z-g� C S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address V License# <br /> ' =' <br /> OTHER COMPANY <br /> SIGNATURE. REGISTERED. Y/ N FEE CURREN L11 N <br /> Address License# <br /> � iii �, � �.� 1► � � � � e � l► ti � it , t �.� �.� e. fio � ee � li.ili.� I; � � o � �.. � i � � � � � � e.triie � � � � � eoie <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 onsife,-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-0 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 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 /> _■ ■ ■ ■ e s ■ ■JJ_�_■ ■.■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ • ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ <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 /> " 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 />