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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department t� <br /> Date Received Phone Contact for Permitting d <br /> [a l a i 1.1[ 1 1 1 1 I nn <br /> Owner's Name 2 Owner Phone Number ^f7(« <br /> Owner's Address 3 O Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �fLJ JOB ADDRESS % ^ LOT# <br /> SUBDIVISION PARCEL ID# J^CA <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR e ADD/ALT 0 SIGN Q DEMOLISH <br /> Jf�� INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK c= FRAME = STEEL = <br /> DESCRIPTION OF WORK J J S <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> ccccccc ccc cccc ccccccz cc nc-ccccccccc rccTcc cc rcccccx-rcc ccrcccccc cccc cz� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> Vy MECHANICAL $ 0$ VALUATION OF MECHANICAL INSTALLATION �?/T <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> --- - - --- ----- - ---- - - - <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL rZ� COMPANY <br /> SIGNATURE , REGISTERED Y/N FEE URREN Y11/ 1 <br /> Address License# l ` <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> 11 1 1 [:1 1.1, 1 1'1[_['.1 [I,['1 [' 1 1 1 11 ['.I L 1 i 1 111 1.1 [ I [1.1 1 1.1 14 1 1 1 1 1 1 1 1 I I l I l I.1 1 1.11 i <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 Safely 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 /> 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 />