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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 /> Owner's Name C '' Owner Phone Number <br /> Owner's Address (7 8/� ��;Owner Pine Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FL S CLOT# <br /> SUBDIVISION PARCEL ID# a5'-&AS .0" ® 0-V 10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER ' — <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE $ SQ FOOTAGE ®� HEIGHT <br /> V ' <br /> =BUILDING $ Q'� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ (_ r5j/A av <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /a je"" <br /> =GAS = ROOFING 0 SPECIALTY = OTHER 1 � <br /> C01 `� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY lQ ILI,mer pool, ��-+�� fi' K0 04 <br /> SIGNATURE REGISTERED Y N FEE CURREN Y/N �7 <br /> Address /94 d License# ®C <br /> ELECTRICIAN COMPANY <br /> SIGNATURt REGISTERED Y/ N FEE CURREN LXLN <br /> Address License# <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN 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 pltis:a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> ` Minimum ten-(I )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. (AIC 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 />