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813-700-0020 City of Zephyrhills Permit Application Fax-813-78MO21 <br /> Building Department <br /> Date Received — Phone Contact for Permitting ( ) <br /> !K4E9E1' <br /> i1 �?E6<Y <br /> Owners Name t G n e- S 1` n Z c rr' Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .� �� �f LOT# <br /> SUBDIVISION F PARCEL ID# J) '�/- AID/® - /00 0/G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR I rX ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL L REPAIR <br /> PROPOSED USE d SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK F E = STEEL = <br /> DESCRIPTION OF WORK ./!7a 4 ra O <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> UILDING $ g/ oo VALUATION OF TOTAL CONSTRUCTION L <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ . 1 C--() <br /> �G <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 3 !� <br /> BUILDER FCOMPANY <br /> SIGNATURE REGIsrEREg Y/N FEE CURREN LY/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 4 <br /> License# <br /> OTHER �( =COMPANY ' /p L L C <br /> SIGNATURE �1 REGISTERED Y/N FEE CURREN I Y/N <br /> Address L 4W, oc 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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />