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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ovner'sName Owner Phone Number 01 <br /> Ow <br /> Owner's Address (l,412- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F SO FOOTAGE= HEIGHT <br /> i i 2 m i i i <br /> E UILDING VALUATION OF TOTAL CONSTRUCTION <br /> 14, r�k I <br /> =ELECTRICAL AMP SERVICE PROGRESS RGY W. <br /> ""R <br /> P OGRESS <br /> =PLUMBING C0 <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLA [ON <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i i I i i i 2 1 v 2 i i v i i i 2 2 i V a I v a i i I i i i i 2 i i i i i i R K <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N-1 FEE CURREN LYIN J <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LUN_J <br /> Address License# <br /> ,PLUMBER COMPANY <br /> :SIGNATURE REGISTERED Y/ N FEE CURREN L—Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREN LYLN_j <br /> Address License# <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 wl 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&'I 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 /> imm"i"mimmiffm i i Rim i i Novi WIN Fossil <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 ,SeUpgrades'.A/C Fences(Plot/Surveyffiootage)� <br /> Driveways-Noi over Counter It on public r6adways..h,eeds,ROW <br />