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813-780-0020 City of Zephyrhills Permit Application Fax813a80-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( 6 <br /> [aaitaaaa :a[aa <br /> Oimer's Name Owner Phone Number <br /> F77E t-utte suite li0 <br /> Owners Address , l ) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3L59 f r kNcs 1 EL 5 LOT# <br /> SUBDIVISION PARCEL ID# Q - 4 -a - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF WORK d' r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �O AMPSERVICEkjjD 0 PROGRESSENERGY Q W.R.E.C. <br /> =PLUMBING $ L <br /> 60e <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER 1i1V1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> All <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY ��C'rC� C�YCF-clr Sec• <br /> SIGNATURE REGISTERED Y/N FEE CUR EN Y/N <br /> llccca <br /> Address t LA a f C License# L <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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> 11115"ll"Itlull-!!l�ii[ailt 01111slagai1!!■a!t[aHatll.lal�ati <br /> Forms; tBtiatiflelall�lll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fos;R-O-W Permit for new construction, <br /> Minimum tern(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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 /> Dlrections: <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/FGotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />