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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting — <br /> Owner's"Name t Owner-Phone..Number. <br /> Owner's Address : Ownsr.Phone Number: <br /> Fee Simple Titleholder Name OwnerPhoneiNumber <br /> Fee Simple Titleholder Address <br /> JAB ADDRESS LOT# <br /> SUBDIVISION F 7 P_ARCEL4D# .. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - e NEWCONSTR rADD/ALT �;: SIGN 0, DEMOLISH INSTALL 8 REPAIR. <br /> PROPOSED USE _ SFR 0 COMM, OTHER . <br /> TYPE DECONSTRUCTION = BLOCK Q:' ' FRAME STEEL <br /> DESCRIPTION"OF WORK iPer <br /> BUILDING SIZE �— SQ FOOTAGE QU HEIGHT <br /> =BUIL_DING $ VALUATION OF TOTAL CONSTRUCTION, <br /> =ELECTRICAL ,. $ AMP SERVICE Q.., PROGRESS.ENERGY =, W.R.E.C. <br /> =PLUMBING $ —� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTAL'LATION'''" <br /> =GAS 0 ROOFING Q. $PECIALTY,F--1. OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE^AREA. ' " YES`:-i; NO:.;.., <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED: Y :i.�:, E CURRE ' <br /> Address <br /> ELECTRICIAN -COMPANY <br /> SIGNATURh REGISTERED Y/.N' <br /> Address license'# I <br /> LUMBER COMPANY ; <br /> •:SIGNATURE REGISTERED Y'I'N,'' '' "FEE'CURREN' <br /> Address Ucense#F —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/'N w'' FEE'CURREN <br /> Address :,.License#: — <br /> OTHER. :COMPANY <br /> $SIGNATURE t; REGISTERED. Y/,N.,: F.EE CUR'R'Etl�• 111.N. <br /> Address - License;#-,)( <br /> ., <br /> RESIDENTIAL Attach'(2)Rlot:Plans;(g),sets:,,gf,puliding!Plans;(1)"Set_,pf,'Energy Forrgs .W,;R.O :Permitfor-new construction, <br /> Minimum ten(10)work(ng days"after'submitfai date.-Required`onsite;Co asfruction'Pians,,Stormwater Plans w/Silt Fencearistalled, <br /> Sanitary Facilities&4 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life:Safety:Pa9e;.(1)set of Energy Forms.R-O-W Permit for new constructlom, <br /> Minimum ten(10).workin9,days:aftersubmitta4.date:"Required_onsite,Construction Plans;,'Stormwater Plans.w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Worts Permit for all new projects.All commercial requirements must meet compliance <br /> $JGN PERMIT Attach(2)sets VEnglnsered Plans: <br /> """PROPERTY:SURVEY'required.for,all,NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractorsign,baek-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 Servi&Upgrades A/C' Fences'(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />