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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> r Building Department <br /> r � <br /> Date Received Phone Contact for Permitting <br /> aaaaaaaa scam a <br /> Owner's Name r Owner Phone Number U CM <br /> Address C00 twwiM 611d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Ad/dress J <br /> JOB ADDRESS t 0 r I LOT# <br /> SUBDIVISION PARCEL ID# 15 11 000 w400 coco <br /> !// (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK qq 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK C a Qa o� ":k 'l l�J AiL c <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> TsW-rIE-" rr� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ � ., VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER J CCC <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I 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 License# <br /> MECHANICAL /\ COMPANY C) br Cn' Air <br /> SIGNATURE 4 / REGISTERED Y/N FEECURStN Y//NN . r/ <br /> Address 380 1 p Or 0 f� 11q License# ( JAco 5()L4 t <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plat 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,Stormmwater 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 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 letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />