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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 /> aEaaaaaa EaaEa <br /> Owner's Name Owner Phone Number <br /> Owners Address CO 1 6A. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address f- - <br /> JOB ADDRESS L LOT# <br /> SUBDIVISION (n K <br /> � Wt l G� PARCEL ID# b C CxD0_Go1O0'00 <br /> WORK PROPOSED NEW CONSTR e ADD/ALT IND FROM PROPERTY TAxNoncEl DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q �9''B�LOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK /V Coo Q.�7 t5 e(U�c b\c- r i7Z u <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION y� , <br /> ELECTRICAL $ ©�Q AMP SERVICE PC) PR R SSENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED I Y/N I FEE CURREN Y/N <br /> Address I <br /> `_License# 1 - � <br /> ELECTRICIAN COMPANY F�p Y\t 5-n�Kr <f[SL{7 <br /> SIGNATURE, REGISTERED Y/ FEECURREN I Y/N <br /> Address r M/ t �' Cl 4; (, License# Cif O6 C <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> !Ha(EtlEaatfaalilaaaaaallaaiaia[aaaaa.6a.aslfaaE.[a.Ea [a[aaiiaiaaaa.Iafial <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 aftersubmittal date.Required onsite,Construction Plans,Stomwater 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(forthe contractor)or Power of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotfSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />