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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 1 %4G- 5`Z <br /> Owner's NameNp-a"y' <br /> 1 1 Owner Phone Number <br /> Owner's Address Z ` Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address ` <br /> JOB ADDRESS ZO LOT# y <br /> SUBDIVISION QC PARCEL ID# V 6 2-ItO' O 0 ' OOOOD <br /> (OBTAINED FROM PROPERTYTAX,NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT = SIGN. _ = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION [ BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK •. C'/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION: <br /> =ELECTRICAL $ J IJIJ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING '-05 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v <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 LI±N <br /> Address License# �— <br /> PLUMBER COMPANY. <br /> SIGNATURE REGISTERED, Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly <br /> /N <br /> Address License# <br /> OTHER COMPANY a V_�n <br /> SIGNATURE LL REGISTERED Y/ N FEE CURREN Y/N <br /> Address e_ License# OLC, ���`��� <br /> lllllllllllllllllllllllllllll1 , 11 Illllll .11llllllllllll.11llllllllli <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,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 /> . . . . . . . . . . . . . . . . . . . . . . <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 />