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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> ...............rrrrrrrr .................... ........ .L......... <br /> Owner's Name G449 <br /> Owner Phone Number <br /> Owner's Address ILA i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r / v LOT# <br /> SUBDIVISION PARCEL ID# l(i 9 U` aJ� T o1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> $ <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0: SPECIALTY = OTHER . .f.�. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES' N ;- <br /> BUILDER COMPANY :.....::..:.: ;,<;::'•, <br /> SIGNATURE •REGISTERED. I Y/.N `. ;FEE CURREN <br /> Address o License#> <br /> - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y FEE CUR EN Y/N <br /> Address License# Q : f <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N,' `" -FEE CURREN L Y/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,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-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 /> `Directions: <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/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />