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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Euilding Department <br /> /Z Z/ <br /> Date Received i Phone Contact for Permitting - <br /> { `-. / ^7 <br /> Owner's Name Z�//V Owner Phone Number /�Z "lp ( Z <br /> Owner's Address �G Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> i <br /> t Fee Simple Titleholder Address <br /> IJOB ADDRESS ESIOT5 �1I�Z I LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> .WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> ",, INSTALL - REPAIR <br /> I <br /> ;4i-:PROPOSED USE = SFR 0 COMM OTHER <br /> OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> ";;DESCRIPTION OF WORK r- i�► � <br /> BUILDING SIZE 30 FOOTAGE® HEIGHT uG <br /> ;,. <br /> . . . . . . . . . . . . . <br /> F' BUILDING $ °P VALUATION OF TOTAL Ci NSTRUCTION <br /> _,. <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> i. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( <br /> =GAS = ROOFING = SPECIALTY I OTHER <br /> s <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER COMPANY D <br /> SIGNATURE REGISTERED i Y/ N FEE CURREN LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE• REGISTERED Y/ N FEE CURREN <br /> I <br /> Address License# <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_X_L N J FEE CURREN Y/N <br /> I <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED jI Y/ N FEE CURREN Y/N <br /> Address L License# <br /> Illlllllllllllllilllllllllllllillllllllllllllllllllllllllllllllllll <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 subdivisionsnarge 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . <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 /> li <br />