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• 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received "b __1 <br /> Phone CoNntact for Permitting <br /> a 9 9 a I II liii Owner's Name rry/Rhone N v U <br /> Owner's Address wner"Phone Number <br /> Fee Simple Titleholder Name i lip, Owner Phone Number <br /> Fee Simple Titleholder Address G <br /> JOB ADDRESS 12>q9±65 4 LOT <br /> �# �J <br /> SUBDIVISION PARCEL ID# <br /> - / (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR B ADD/ALT = SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> I Q FRAME = STEEL = <br /> DESCRIPTION OF WORK CA <br /> BUILDING S ZE SQ FOOTAGE HEIGHT <br /> BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION <br /> �n o�=ELECTRICAL $ AMP SERVICE = PP,R/O'G/RESS ENERGY = W.R.E.C. _n„� <br /> =PLUMBING 0 <br /> $ 21 V 03, <br /> ����^^^^'"""' 1111 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r—S <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO J� <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 Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address Licensepe# <br /> OTHER COMPANY V ) 1 I G <br /> SIGNATURE REGISTERED I�Y/p FEE CURREN I Y1/N <br /> Address License# `� <br /> iiliiiiiiiliili!!✓11ii!! t!!!ltlIIIII! €lIII[iliilIIIIIIIIIII II1111ilil <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 /> 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(far 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 />