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F 1 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> aaaaa[[[ <br /> Phone Contact for?ermitting — <br /> [[aaa <br /> Owner's Name ( Owner Phone Number -7�.3� �017( <br /> Owner s Address S �i �J Owner Phone Number <br /> Fee Simple Titleholder Name Af Owner Phone Number <br /> Fee Simple Titleholder Address / r <br /> JOB ADDRESS S7� [� U LOT# <br /> SUBDIVISION PARCEL <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER E <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK • d i' fl l �l LUT�!.,n Vr/ <br /> BUILDING SIZE SO FOOTAGE HEIGHTsL <br /> =BUILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ `� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Z G <br /> BUILDER COMPANY v � MC— <br /> SIGNATURE REGISTERED Y/N FEEZURREN I Y/N Address License# a,5 9 V7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License# n <br /> ■\I[!\\t!! (III\t\It\i![ a■11l1lt■\\[\ atilt![ittt!\ \I![!\\t[\\■[ illttl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, � <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stor mwater Plans w/Silt Fence installed, g�� <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects 1 <br /> COMMERCIAL Attach(2)Complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new Construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater Plans w/Slit Fence installed, q <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance !!it <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> -• Fill out application <br /> Owner&Contactorr sign sign back <br /> 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 Attomey(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 AIC Fences(Plot/Survey/Footage)Driveways-Not over Counter If on public roadways..needs ROW <br />