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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Q <br /> Date Received t o — 2' 2 2 phone Contact fqr Permitting <br /> aaaaaaaa aaaaa q <br /> Owner's Name CA <br /> �U C rCl Owner Phone Number <br /> Owner's Address 3�z�J G� �"� Dv'L Q,d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,^ �• <br /> JOB ADDRESS �'1 J Dri4a lck LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER o a. <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE / HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCT <br /> =ELECTRICAL $ AMP SERVICE ROGIRESS ENE 0 W.R.E.C. <br /> =PLUMBING $ 4�tAq <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER ® D V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO pt <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N URREN/r 1 qY/N <br /> Address License# C `J 3o Q <br /> ELECTRICIAN .ova�•�{ COMPANY <br /> SIGNATURE ;/ REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address 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 I Y/N <br /> Address License# <br /> aaaaasasaataaataaaaaaaa �aaaaaaaasaaaiasaaaaasaara ><aaaacaaaaaaacaaaar <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge 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,Stonmwater Plans w/Sift 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 /> Dlrectlons: <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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />