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813.760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �- Building Department <br /> Date Received ^ Phone Contact for Permitting <br /> a IL <br /> Owner's Name •,`- Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Foe Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS \S LOT# � ` J <br /> SUBDIVISION ! PARCEL ID0 <br /> IOSTAMW FROM PROPERTYTAx NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT LJ SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME ® STEEL = 7-7 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> ILDING $ESUVALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> K;2rPLUMBING S mot-•Pf :C�-'YN 4, 110 <br /> =MECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREn LILIN <br /> Address License# <br /> PLUMBER COMPANY <br /> n M,-c>v— r�re a p>�j <br /> Qr <br /> SIGNATURE REGISTERED 121WFEECURRB Y! <br /> Address License# �� �cj a C> <br /> MECHANICAL COMPANY —� <br /> SIGNATURE I Y/N FEE CURREN I YTN <br /> Address License# <br /> OTHER COMPANY —� <br /> SIGNATURE REGISTERED I Y/N FEE CURREQ Y/N <br /> Address Lime <br /> III1111111111111111111111111111IIIIIIIII11111i111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permlt for newconstruction, <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 subdivisionsllarge 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 ton(10)working daye after submittal date, Roqulred omit©,Construction Plata,Stormwater Plana 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 Ahach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 1 aV • • 6Yii�.1J . . ' ' 1 . . .' • . . . i 1 1 ' • . . .... ' 1 1 ' <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement Is required. (A/0 upgrades over$7600) <br /> Agent(for the contractor)or Power cf Attomey(for the owner)would be someone with notarized letter from ownerauthonzing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sawers Service Upgrades A/C Fences(Plot/Survery/Footage) <br /> Driveways-Not over Counter If an public rosdways..needs ROW <br />