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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact 1.for Permitting <br /> ... rrrrrrrrrrrfTrrrrmTrI.I!.r!rrr.......... <br /> Owner's Name Owner Phone Number 13— 4"-1 —14 <br /> Owner's Address 16736 Owner Phone Number 79 Z- 2- <br /> Fee Simple Titleholder Name Owner Phone Number F <br /> Fee Simple Titleholder Address <br /> 77 01!W JOB ADDRESS Fr 11 LOT 9 L�� <br /> SUBDIVISION PARCEL ID# _Z d 00 10 0 011 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> 1 9 <br /> DESCRIPTION OF WORK IC7,e�- 6'1 <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS <br /> 0 ROOFING F__1 SPECIALTY OTHER t5t_ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHHHHHHHH] <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_Y_L N J <br /> Address —1 License# <br /> ELECTRICIAN COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address I License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN L_yj N_J <br /> Address License# <br /> I t 1 2 a i I i i i i N a i i i i N i I 1 2 1 i v V I i I I v v N <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&I 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 foi_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 clumpster.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 />