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n <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-B18-780-0021 <br /> Building Department <br /> Date Received Phone Contact for PermittingL Sib c <br /> [taaalaa O aaata <br /> Owners Name Owner Phone Number <br /> Owner's Address 1 1 L Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address �/ <br /> JOB ADDRESS 662 (1 nil I / \111 LOT# <br /> SUBDIVISION 16-Ifflado PARCEL ID# O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED q NEW CONSTR AALL RDD ALRT SIGN Q Q DEMOLISH <br /> INSPROPOSED USE 44-011 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME nn= STEEL NN� <br /> DESCRIPTION OF WORK <br /> � <br /> Cl <br /> BUILDING SIZE S4 FOOTAGE HEIGHT 11 <br /> TraTrrcrrr[rsrrFrr�srrrrr<ara cr c rrrrcrrrrrfr�raarrrr�srscr�rrrrrcrsE r <br /> =BUILDING $ A Z'�• VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ {{/`(,►fJ J JJ //bra "' -zi.! <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I b <br /> SIGNATURE REGISTERED YIN F51z CURREN I Y/N <br /> Address tte License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <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)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,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 dumpater.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 constructlon. <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 Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerocfs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />