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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 S� Ow7ner Phone Number L <br /> Owner's Address I✓ l L O ner FtZ Number <br /> IF <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> at JOB ADDRESS V /V L4MM ! S L / I.OT# <br /> SUBDIVISION <br /> PARCEL ID# -,2 -0.-00_ 0 — 1) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> Y` <br /> ip.WORK PROPOSED R NEW CONSTR H <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER O <br /> pA'TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> r,DESCRIPTION OF WORK D 0 S �Cd / Ba <br /> OAF <br /> ILDING SIZE SQ FOOTAGE 12 HEIGHT f V <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE i = PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ l <br /> U" FZ d <br /> =MECHANICAL $ VALUATION OF MECH ICAL INSTALLATI N pr <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER /�///✓� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY i� ICLr B>f Jrl LLC C !� <br /> SIGNATURE REGISTERED Y/ FEE CURREN <br /> Address License# �0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE• REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address 1 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREt, <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 tnrk Permit for subdivisionsflarge projects <br /> COMMERCIAL,; `Attach'(2)'6omplete 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 /> . . . . ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ . I I I I I I I I I I <br /> . I I I I I I I <br /> . ■ . . <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 />