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513-780-0020 City of Zephyrhills Permit Application Fax-8l3-780-0021 <br /> Building Department <br /> r, <br /> Date Received Phone Contact for Permitting — ` q U <br /> Owner's Name JV t' (,� Owner Phone Number 30 5/ [ 7 2't�3� <br /> Owner's Address ��J Z a S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB �� f <br /> JOB ADDRESS 3 / vl ,S ./ LOT#✓ <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK 6 VLI (p /v F U' 1.// 2 T2Ow S SSE sit <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ ll <br /> 1j1• � � . / v <br /> ' MECHANICAL $ L 6 VALUATION OF MECHANICAL INSTALLATION <br /> 5'. <br /> 4 =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO L <br /> . . . . . . . . . . . . . • <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LI.LN <br /> Address I License# <br /> ELECTRICIAN COMPANY 77=1 <br /> SIGNATURE• -REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address / License# <br /> MECHANICAL COMPANY /C a tr itr SIGNATURE2��V <br /> REGISTERED Y/ N FEE CURREN <br /> Address Y. l/ C C ,qy 33 / License# 3�(] <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License#. <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllll <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§etsW 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 />