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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Rol b) RaW Phone Contact for Permitting LSO IqD <br /> IF <br /> Owner's Nam Owner Phone Number <br /> Owner's Addressl q (00 W �C� Owner Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F3ND WA*M �'211 Dv-, LOT# <br /> SUBDIVISION FA Adden 'h PARCEL to# a,_ MD- OCOCO- 2091) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK kn All <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> [)�PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -4- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN L�Y/N <br /> Address License# F_ <br /> REGISTERED Y/ N FEE CURREN Ym <br /> PLUMBER COMPANY k <br /> SIGNATURE P-6/0 �/V_ <br /> Address &,+h 16ge PA, 1 License# I L' )S— q 13 <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED FEE CURREN N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . i . . . . . . I . . . . . . . . . . . . . . . . . . mussualls <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 />