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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name C I CA , 0 1 Owner Phone Number AM``953 <br /> v `L <br /> Owners Address 1 ',38223 E{ L�'t`W 3. p p` Owner Phone Number <br /> Fee Simple Titleholder Name Q 1 1�Q V M - R� I Owner Phone Number <br /> Fee Simple Titleholder Address I L V �a L 6 <br /> JOB ADDRESS "g�yf— � LOT# <br /> SUBDIVISION <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 171 <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME c= STEEL = <br /> DESCRIPTION OF WORK ) LL) <br /> BUILDING SIZE b y 0 = SQ FOOTAGE C) HEIGHT <br /> C>E'C'i'Ei'3C'4Tt��E"a- r <br /> =BUILDING $ C;�iy/1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (/�`' AMP SERVICE = PROGRESS ERGY = W.R.E.C. <br /> =PLUMBING $ 1 C� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 01A) <br /> (/ � �♦i <br /> v r <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER &ej� OMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address (N License# V T <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address F License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Addres I License# <br /> 1 1.1 1 1 a 1.1.11 1'1 1.2 1 IF.€.11 s 1.11 1.1 1.91 i 1_l.l 11_1 2.€i.1.1 1.1 1 1111.9 a 1 1 i..l.a 1.1 1 1.1.1.1 t a tt III I 1_I' <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/Slit 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />