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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �� �1 <br /> Date Received Phone Contact for Permitting 6(('U 3 <br /> •aa E&EIEE a as 5 ff <br /> `` �INE,�E/ <br /> Owner's Name , J v i O r Phone Num er <br /> Owner's AddressF15�Ltj 3 Ck6tiCAt t Owner Phone Numb <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addressp, <br /> JOB ADDRESS 5 ( -J �C�wit 1 C. Q�� LOT# /n� <br /> SUBDIVISION PARCEL ID# Uy — Zt '- Q I J/ <br /> (OBTAINED FROM PROPER TAX NOTICE) <br /> WORK PROPOSED e NEW COLSTR e REPAIR SIGN = = DEMOLISH <br /> INSPROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME n �, <br /> /� <br /> STEEL = <br /> DESCRIPTION OF WORK Iris,) r l5'� �� pp I Cg <br /> 2 -1 <br /> BUILDING SIZE Z / SQ FOOTAGE 3 HEIGHT <br /> =BUILDING $ J n V n 5D VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ �1 AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ -3 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address L License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY \ t ` r\ <br /> SIGNAT REGISTERED Y/N FEE CURREN I Y/`N p <br /> ress License# 5 C C��`` S I <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 subdivisionsllarge 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 letterfrom 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 />