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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> • Data Received Phone Contact�for Permitting <br /> L <br /> owner's Name 1 owner�Phone Number <br /> Owner's Address 13�6 I-e0*10L. Owner Phone Number <br /> Fee Simple Titleholder Name I IOwner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS _14, 2 LOT# <br /> SUBDIVISION. PARCEL ID# <br /> i�� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR WALT SIGN DEMOLISH <br /> EP <br /> INSTALL 8 (0 <br /> PROPOSED U SFR = COMM OTHER W�AGM.M V7WMUL(_ <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK e_(Jk <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> I . . . 11 . . . I . . . . . . I I.. . . . . . <br /> EBUILDING 0,0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W,R.E.C. <br /> =PLUMBING $ L5,; <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO b5 ' <br /> . . . . . . . ...*-- <br /> B LDER 0(b'6ANY <br /> SIGN kTURE_ REGISTERED N FEE CURREN Y/N AL <br /> Ul <br /> Address License <br /> ELECTRICIAN COMPANY <br /> REGISTERED L Y/N <br /> SIGNATURE F N J FEE CURREN <br /> Address License# F__ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED —1 Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY F_ <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L_XLN J <br /> Address I License# F— <br /> OTHE COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURREN I;Y�/N <br /> Address License# <br /> 11111111111111111111111111111111111111111111111111111111111111111111 <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 onsits,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. . . . . . . . . .­ x . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . .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 /> Reroc;fs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />