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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i' Building Department <br /> Date Received Phone Contact for Permitting <br /> aaaaagas 3tiit- 2 <br /> Owner's Name Owner Phone Number {��2 0 <br /> Owner's Address I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> �#/� <br /> SUBDIVISION (,JQ� � PARCEL ID# r Z — oo0-()-bQ PD <br /> (OBTAINED FROM PFROFFERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR B ADDIALT Q SIGN Q Q DEMOLISH <br /> IS��II INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK QFyR�A�MEE� 1,STEEL Q.p <br /> DESCRIPTION OF WORK a'VwA `u 7 r 1 lr <br /> BUILDING SIZE SQ FOOTAGE D HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 11 <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 <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER C MPANY Lug <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y-1 N <br /> Address I License# <br /> a gas <br /> Ias gas <br /> I!-#"A"ill:li.n.is3N's Was <br /> sit <br /> gg'41'tl,aiaEi.iiilVlt'gavill_241'sI@'i aaaaa4VaaaI <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 subdivisionstlarge 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,Storrmwater 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(PloYSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />