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813-780-0020 City of Zephyrhills Permit Application Fax-e13-780-0021 <br /> Building Department (� <br /> Date Received �— Phone Contact for Permitting <br /> I_-I I I I I I I —G <br /> Owners Name (1 ei L L Owner Phone Number p !1 <br /> Owner's Address �—( th V Owner Phone Number <br /> Fee Simple Titleholder Name N Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 2) 11! It ItRki rhi 11.5 FL a LOT# <br /> SUBDIVISIONlskawst PARCEL ID# �' a •a CPO <br /> (OBTAINED FROM PROPERYY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 0 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ ') �[� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 1 `J AMP SERVICE PROGRESS ENERGY Q W.R.E.C. � <br /> =PLUMBING $ AI (00 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �=GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO // ) <br /> BUILDER COMPANY ( OLi) nc <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address License# I CRCoS-1 Z 16 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address I License# <br /> 1111_LI1_1_UI l 11.1.1 1 LJ_L111_1 1_11111.1 UI 11111.1.11.1111.1 11.111111111111111111.1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constriction, <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 Farms.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 /> 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 />