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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 /> ................ .............. ................CCCI;3E3=.................."I <br /> Owner's Name ZL! Owner Phone Number <br /> Owner's Address l/7/Z <br /> W04fier Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -a LOT# <br /> SUBDIVISION t PARCEL I D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK at&, t& Z BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE D = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> r- - I V <br /> =GAS Q ROOFING SPECIALTY F-1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO`., <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N ],,,..-'-,REE,CURREh <br /> L Address icense <br /> ELECTRICIAN COMPANY <br /> SIGNATURit REGISTERED N n, FEE CURREN -LW_N_J <br /> Address License F <br /> PLUMBER COMPANY <br /> ::SIGNATURE REGISTERED Y/ N. FEE CURREN LYLN J <br /> Address 71 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y-/ N-, FEE CURREN /N <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F- <br /> H11 I I I I I I I I i I I I f I H I I i it <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets.of Building Plans;(1)setof.Energy Forms;R-O-'W.Permit for new construction, <br /> Minimum ten(10)'working days after'submittal date. Requ.1'redo' nsite;Construction Plans,Stormwater Plans wif Silt Fence installed, <br /> Sanitary Facilities&I 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)workingApys after,submittal dais. 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 /> .lDilrecatton's-:1 <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />