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-5137780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building.Department <br /> Date Received <br /> Phone Contact for Permitting <br /> /9 c <br /> Owner's Name ' �': (i(��y ' �— Owner Phone Number <br /> Owner's Address n�j % J. fi / ` Owner Phone Number <br /> - <br /> Fee Simple Titleholder Name F Owner Phone Number. <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �L ��✓ LOT# ✓✓ <br /> :SUBDIVISION L� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE SFR 0 COMM �� OTHER b Y <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME u STEEL Q <br /> DESCRIPTION OF WORK ° <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> a wcw <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q 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 Y fN <br /> Address 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 f)n License# - <br /> OTHER COMPANY V'/U�C 1�?Lai 6 e, f, all <br /> :SIGNATURE REGISTERED Y/N FEE CURREN Y1/N <br /> N L <br /> Address w L prf �Me_ R V46A License# <br /> laltlt.I<.ill[ 1111a1t.FIli11a awls 1tf2-1€1Altlt11:12 'sa its 111111tt11 all 6a.1!'tt3lttftg"l11 all ai1111 €1t.11asIII <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$26.00,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 />