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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 7f <br /> Date Received O Phone Contact for Permitting <br /> �r <br /> 177 <br /> Owner's Name S Owner Phone Nu ber / <br /> Owner's Address Owner Phone Numbe / <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / 2,r QA <br /> JOB ADDRESS a <br /> LOT# <br /> SUBDIVISION `j PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NEW-CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> ®' INSTALL B REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME Q aSTTEEL Q - <br /> DESCRIPTION OF WORK � , /y <br /> BUILDING SIZE SQ FOOTAGE <br /> BUILDING $ <br /> 2 � � ALUATION OF TOTAL CONSTRUCTION �(C$zQ�►'- <br /> ELECTRICAL $ AMP SERVIC = PROGRESS ENERGY I= W.R.E.C. <br /> =PLUMBING $ �n� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION�fo <br /> =GAS = ROOFING Q. SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES" '- NO <br /> BUILDER OMPANY �-:as_`I: <br /> SIGNATURE a REGISTERED Y/.N F.EE;C .REC` <br /> Address License:#; <br /> ELECTRICIAN COMPANY <br /> SIGNATURit REGISTERED Y/. N. _ 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 <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2),set&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-07-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 8,1 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. (AIC upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Attomey(for.the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING.. (copyof'cohtract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways:.needSAOW` ��' ' <br />