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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Conta&for Permitting { t' — <br /> Ownees-Narne Owner Phone Number <br /> Owner's Address. 3 W > J c 5 :.Owner Phone'Number <br /> Fee Simple'TitleholderName Owner Phone Number <br /> Fee Simple Titleholder Address - <br /> JOB ADDRESS- �^ I LOT# <br /> SUBDIVISION PARCEL;!_D# _t 3j-? - .i-oo ` �+ �� - . (3.-► <br /> (OBTAINED FROM PROPERTY TAX NOTICE)' <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN 0 [ DEMOLISH. <br /> R <br /> INSTALL e REPAIR . <br /> PROPOSED USE SFR —COMIM- 'OTHER . <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL CJ <br /> DESCRIPTION.OF WORK _5 e <br /> BUILDING SIZE .•� SO FOOTAGE• : a�3 HEIGHT <br /> , <br /> =BUILDING . $ /•t Lvo. VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMR,SERVICE. Q . :PROGRESS.ENERGY W:R.E.C.t <br /> =PLUMBING' $ <br /> =MECHANICAL $ VALUATION'OF MECHANICAL INSTALLATION ; <br /> =GAS Q ROOFING SPECIALTY = OTHER. <br /> FINISHED FLOOR ELEVATIONS FL60D ZONE AREA.. DYES NO <br /> BUILDER COMPANY' <br /> SIGNATURE .REG16TEREL) Y/ N FEE CURREA Y/N' ; <br /> Address ` License <br /> ELECTRICIAN' I"COMPANY >> <br /> SIGNATURE! t'REGISTERED'' Y/=N"- ' _FEE C,URREh <br /> Address T License#, <br /> PLUMBER COMPANY <br /> "SIGNATURE' 4, REGISTERED Y/tN, I FEE CURREN Y:/N •. `'� <br /> Address License# � I <br /> MECHANICAL COMPANY <br /> 'SIGNATURE _ REGISTERED Y'/ N FEE CURREA" <br /> Address,. License'#'' •' <br /> OTHER (J�� � !`0" ( 0�. COMPANY <br /> SIGNATURE REGISTERED Y/ N "FEE CURREN Y/sN'' " <br /> Address.. `License''#,F ; <br /> RESIDENTIAL Attach(2))'Plot Plans;(2)`sets of Building`Pians;(1.)set'ofEnergy i`orms:R=O.-W Permit.fornew construction; <br /> Minimum ten(10)working days after submittal date. Required Onsite,_Construction Plans,StorrnwaterPlans w/Silt Fence installed;; <br /> Sanitary Facilities&1 dumpster,Site Work Permlt for subdivislonsilarge projects <br /> COMMERCIAL Attach'(2)-compleWsets of Building Plaps�plus a Life Safe' <br /> (1•)set of Energy -O-W.Permitfornew construction.: <br /> Minimum ten(10)working'days after submittal date:..Requir,onsite,:Constnrction Plans,:StorinWater Plans,,W/Silt•.Fence.installed, t' <br /> Sanitary Facilities&'1-`dumpster.Site.Work.Perr;it fo:all-new-projects.All cammerc)al requirements must meet:campliance . <br /> SIGN PERMIT Attach(2),sets-of Engineered Plans. <br /> ""PROPERTY SURVEY.required for all NEW,construction. <br /> irecti Dons: <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 Sealers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways=Not over Counter if on public roadways..needs ROW <br />