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6 OOLO 5 <br /> '813-780-0020 - City Of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department TtvV f 3�'j <br /> Date Received .Phone Contact for Permitting - <br /> Owner's Name ? Owner,Phone Number O '1 Z <br /> Owner's Address ZCA Owner Phone-Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J(U Z LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR,= ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM 0 OTHER <br /> TYPE OF.CONSTRUCTION = BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK C Ul7 V71 <br /> BUILDING SIZE r SO FOOTAGE HEIGHT <br /> =BUILDING $ V VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GASROOFING = SPECIALTY = OTHER <br /> FINISIiED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Pow BUILDER COMPANY <br /> SIGNATURE ` REGISTERED Y/.N FEE CURREh Y/N <br /> Address ll� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J 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 Y/N <br /> Address License# <br /> OTHER COMPANY pt <br /> SIGNATURE REGISTERED Y./ N FEE CURREN Y/N <br /> Address. J 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 Plansw/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page:.(I)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woWng:days after-submittal d te a .:Required onsite,Construction"Plans,Stormwater.Plans.w/Silt Fence installed, <br /> Sanitary-Facilities&'1 dumpster.Site Work Permit for allf new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of.Engineered Plans: <br /> ""PROPERTY SURVEY,required for all.NEWconstructiom <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'6adways..needs ROW <br />