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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 - <br /> Owner's Name Owner Phone Number <br /> Owner's Address ,_S-D Z 3 S4 M q!!e,-A i -.J,e Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S0 2-3 SC c LOT# <br /> SUBDIVISION PARCEL ID# G Z 6 zI 0100- 0d eo-d/z d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF`CONSTRUCTION. BLOCK = FRAME = STEEL 0 <br /> DESCRIPTION OF WORK 6 oOUC FIVC-e -369 <br /> BUILDING SIZE 6` "OTAGE _JCl HEIGHT C� r <br /> =BUILDING $ b 3? VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS „= ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED-FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY =eflnQ <br /> SIGNATURE U REGISTERED Y/ N -' FEE CURREN Y/N <br /> Address 5 s• License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/. N FEE CURREN ,Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREN <br /> Address" License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/--N FEE CURREN <br /> Address License# '. <br /> OTHER COMPANY: <br /> SIGNATURE REGISTERED Y/ N FEE CURREN --Y/'N <br /> Address License#, <br /> RESIDENTIAL Attach.(2)Plot Plans;(2)sets of Building Plans;,,(1),set of,Energy.Forms;R-O-W.Pennit 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 subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Fage;..(.1)set of Energy Forms.R-O-W-Permit for new construction. <br /> Minimum ten(10)working"days aftee submittal.date.-Required onsite,Construction Plans,-Stormwater Plans w/SIIt.Fence installed, <br /> Sanitary-Facilities&i 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 /> 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 />