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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 L , 7d <br /> Owner's Name Owner Phone Number <br /> Owner's Address �� U ���� /i/�U f `� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J.OB ADDRESS /�l��co�� 4-1G - LOT# <br /> SUBDIVISION PARCEL ID# 35 05 J - icl,o od o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE =r SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK `T L <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT / <br /> =BUILDING $ O O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> AA <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I/s <br /> =GAS = ROOFING Q. SPECIALTY.0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES' NO`:• <br /> BUILDER // ,, COMPANY <br /> SIGNATURE W REGISTERED Y/ ;:FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATUR9 REGISTERED Y/ N. •. FEE CURREN Y/N <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N, FEE CURREN Y/N <br /> Address License#. <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N: "' FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> $rIGNATURE 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,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 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)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 /> }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 />