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r <br /> 813-780-0020 City of Zaphyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> 4 <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name.. -OwneuPhono'Number,, 13 <br /> Owner's°Address Owner.Rhone-Number <br /> Fee Simple Titleholder•Name OwnerPhane:Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS V LOT# <br /> SUBDIVISION P:ARCEL.ID# �G . <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED. NEW.CONSTR •ADD/ALT SIGN Q Q DEMOLISH <br /> •e INSTALL REPAIR <br /> PROPOSED USE = SFR'- 0 COMM OTHER .. <br /> TYPE OF CONSTRUCTION Q BLOCK Q- FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING.SIZE ,. - SC FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION, <br /> =ELECTRICAL $ ,/ �� AMP SERVICE 0,- 1?ROGRE$:S.ENERGY Q. W.R.E.C. <br /> =PLUMBING $ r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ''`"`' <br /> =GAS Q ROOFING [�,- $PECiALTY..,=. OTHER <br /> F{N{SHEDFLOORELEVATiONS" FL•'OOD`ZONEAREA. <br /> BUILDER u s=: <br /> COMPANY <br /> SIGNATURE -REGISTERED. Y-/<N ;`FE ;CW{R�E��,' <br /> Address Cleanse;# LT. <br /> ELECTRICIAN ,� >COMPANY <br /> SIGNATURk !t• J REGISTERED? Y/ °F CuwtEn Y/N <br /> Address Cere <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y'!'N;"` ': ' `FEECtI(RRE�H <br /> Address ^'Ucense:#-I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED -FEE CURREA <br /> Address License#, I ' <br /> OTHER. COMPANY <br /> $SIGNATURE ,;; ;RE ISTERED. : 'Y/:NF ;FEE CURREN Y/N <br /> Address License:#' <br /> RESIDENTIAL Attach,,(2),Plot:Plans;"(2),sets;:of,oLkilding Plans;;(1;);set,,of;.Energy Forms;R-O-W,!Permltfor•new construction, <br /> Minimum ten(10)working dags`aftgr'submltt l'date."Required-onsite;Construction'Plans;•Stormwater Plans w/Slit Fence,16stailed, <br /> Sanitary Facilities&'1 dumpster,Site Work Permit for subdivislonstlarge 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:aftersubm{ttal.date::Required.onsite,Construction Plans iStormwater 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"NE W'construction. <br /> (Directions: <br /> Fill out application completely. <br /> Owner&Coniracior: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 Servlce`Upgredes AIC' Fences�-(Piot(SurveytFootage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />