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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> ........ .......... rrTM ............................ ..... ..... <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F � 8 vo LOT# <br /> SUBDIVISION L Vtim PARCEL ID# Z 5 &17 SW 00,00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR AD6/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK tpax W,-7W 3 0) VA_ d14 L-16-1i <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT] <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> r—!ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q WR.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO. <br /> -BUILDER COMPANY <br /> L SIGNATURE REGISTERED Y/=N­J_ FEE CURREN Y./N� <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED -Y t N FEE CURREN LXIN <br /> Address License"# <br /> 0 <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 /> 0 OTHER COMPANY 11W ILA <br /> SIGNATURE <br /> _LJ REGISTERED Y/ N . FEE CURREN <br /> Address _461k,06— cGlvl License# Vek1_1 V/11 <br /> HH,HH 1HHHHHHHHHH1,11111111 <br /> jP14f HHHII H!Hl ........ <br /> RESIDENTIAL Attach.(2)plot Plans;(2)sets of.,Building Plans;(1)set of Energy Forms;R-O-W Permit1or new construction, I <br /> Minimum ten(10)working days after submittal date. 'Required onsite,Construction Plans,Stormwater Plansw/Silt Fence installed, <br /> Sanitary Facilities&I dumpstir,Site Work Permit for subdivisions/large projects I <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......1.1................. <br /> ,-'Directions: V­ <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 /> Remofs If shingles Sewers Service-Upgrades A/C Fences(PlottSurvey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />