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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received <br /> & -/ -15wa 0 Phone Contact for Permitting <br /> ... ................ ... <br /> Owner's Name Owner Phone Number <br /> Owner's Address YD Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number F77 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F-6 Ylo LOT# c--� <br /> SUBDIVISION PARCEL ID#103 &Q (o 42 / 01910 o DOD d eo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =.BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> 1141MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> j <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i i i A i i i i I i 1 2 11 i i i i i i i i i i I I I i i I I i N A i I i i v i 2 i i I I a i i i i ff i i N i i i v i i H i i H a i i i i i 5 i i i i i i i H i i i I I i HIN i I i i i i <br /> BUILDER CO <br /> MPANY <br /> SIGNATURE REGISTERED YIN -FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Lj/ N. FEE CURREN L11N J <br /> Address License"# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/,Nj' FEE <br /> CURREN Y/N <br /> Address License# <br /> MECHANICAL <br /> COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN Address 1/—Ll- 01<5 C�10 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN <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)-workihg days after submittal date. Required-onsite,Construction Plans.'Stormwater Plansm/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sits 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& 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 signback of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AJC 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 Sbwers Service,Upgrades A/C Fences(Plot/Survey/Footage) <br /> rivewayi-Not over Counter if on public roadways..needs ROW <br />