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813-780-0020 3 Fax-813-780-0021 <br /> City of Zephyrhills Permit Application <br /> Building Department 7,(VVI <br /> Date Received <br /> �� Phone Contact for Permitting <br /> —rr� <br /> Owner's Name �/ C Tpb Owner Phone Number <br /> Owner's Address ��� 1 v�, i QZ. l Gt <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /�� � <br /> JOB ADDRESS 7 SZ �C9, l�� LOT# <br /> SUBDIVISION PARCEL ID# OCnD' 00000 — <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED H <br /> NEW CON e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOfC_K— FFRAAM�E,}- � STEEL Q <br /> DESCRIPTION OF WORK C�(Q, '� l/V l a "t-O✓ — L-Z, <br /> BUILDING SIZE SQ FOOTAGE 0 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> [VIMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> T S--:k00 <br /> s0 <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <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 <br /> Address License# p <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address -- ✓ L License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# I <br /> eeeeeeeeeeeeeeeeeee � eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeere <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 /> ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ e • ■ ■ • ■ ■ ■ <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. (AIC 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 />