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�. 813-780-0020 City of Zephyrhills Permit Application Fax s1a-7saoa21 <br /> Building Department <br /> Date Received 1_ _)_�o I Phone Contact for Permitting . �� - 7 3L_ <br /> Owner's Name R ,.. �' Owner Phone Number ' <br /> Owner's Address l,7 V ;Owner.Phone Number: ( 7. -- <br /> Fee Simple•TitleholdeeName Owner Phone Number �.._ . <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# ' <br /> SUBDIVISION �- . PARCEL:ID# . <br /> (OBTMNED:FROM.PROPERTY TAX,NOTICE), <br /> WORWPROPOSED •NEWCONSTR ADD/ALT SIGN [ DEMOLISH.. <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR ' 0 COMM 'OTHER .:.° <br /> TYPE OF CONSTRUCTiON' Q BLOCK 0 FRAME [ STEEL 0 <br /> DESCRIPTIOWOF WORK. 1 <br /> BUILDING:3tZE . -So FOOTAGE HEIGHT <br /> "BUILDING.. $ VALUATION OF TOTAL CONSTRUCTION. <br /> AMP.SERVICE;:- CJ PROGRESS,ENERGY W.R.E. <br /> 0 C,.. .,. <br /> ELECTRICAL $ .••� - , <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING [ SPECIALTY- ;;OTHER ( .✓6y <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ' <br /> SIGNATURE REGISTERED Y%..N `= r." FEE'CURREM1 <br /> Address ' . License#;� . <br /> ELECTRICIAN` `COMPANY . <br /> SIGNATURE v REGISTERED Y/•N` .FEE,C,URREM1 /' :YIN._,. • <br /> Address License#{ t`,. <br /> PLUMBER COMPANY . <br /> :'SIGNATURE REGISTERED Y/:N,-. FEE.CURREM1: Y.L N`• <br /> Address License# (' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y7 N FEE CURREs. Y'7 N' <br /> Address 'License:#,' ',' <br /> OTHER. COMPANY r <br /> SIGNATURE REGISTERED Y/'N,: . FEE CURREM1 <br /> Address. F7 `License#, <br /> Hoffi <br /> RESIDENTIAL Attach 2 Plot Pians;'2'sets of Buildin Plans;• 1. set'of 6r Forms;R=O=tN"Permit•for.new <br /> :. . . <br /> O O .g,.. ;:.: .) gY: construction, .. <br /> Minimum ten(10)working days after submittal date. Required onsite,`Construction Plans,-Stormwatee Plans w/Silt Fenae�iristailed;:_ <br /> Sanitary Facilities&1 dumpster;Site,Work Permit for subdivisionstlarge.projects <br /> COMMERCIAL Attach(2)complete sets of::Building Plans:plus a Life So,fety Page;(1)set of Energy Forms.:R-O-W_Permit for,new construction.; <br /> Minimum ten(90)working days after submittal date."f ei libel onsite,Constriction P1ans,:Stbrmwater Plans-W/Silt Fenc0ristalied, <br /> Sanitary Facilities&'1 dumpster.'Site-Work;Perm(t for all-new-projects.All commercial-requirements must meet.compliance <br /> SIGN PERMIT Attach(2).sels of Engineered Plans. <br /> ""PROPERTY SURVEY:required for all NEW:construction. <br /> Dlrectlons: <br /> Fill out,application completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If over$2500,a Notice of.Commencement is required...(AfC 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-Nat over Counter if on public roadways..needs ROW <br /> f` <br />