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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — A <br /> Owner's Name Owner:Phone.Number <br /> Owner's Address syOZ 1 Z Owner Phone Number <br /> Fee Simple-Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7K©Z Z S I LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR. ADWALT = SIGN = = DEMOLISH <br /> B. INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q - COMM = OTHER <br /> TYPE OF CONSTRUCTION = 13LOCK 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE S OOTAGE= HEIGHT. b <br /> =BUILDING 1..$ �-- OO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP.SERVICE. PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY.,= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER COMPANY �eMe red C< <br /> SIGNATURE REGISTERED Y/'N_j FEE CURREN Yr/N <br /> Address ^t�Lf l s S • License# �. -5 <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE' REGISTERED .Y/ N FEE CURREN, L•Y/N <br /> Address License# <br /> PLUMBER. COMPANY <br /> :SIGNATURE REGISTERED 'Y/ N_J FEE CURREN <br /> Address License#- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY., <br /> SIGNATURE - REGISTERED YJ.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;ConstructiowPlans,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 Llfe.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 /> ----------------- <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 Attomey(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 /> { <br /> Driveways=Not overcounter if on,public roadways-needs ROW.` <br />