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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —`8 - � ' Phone Contact for Permitting -7- ;;ZOO/ <br /> a-, <br /> Owner's Name i Owner`Phone Number <br /> Owner's Address / �� - /�/It �5 yr Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS EYN Iry LOT#.:2== <br /> SUBDIVISION PARCEL ID#EA� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL e REPAIR ic <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL ,, /� <br /> DESCRIPTION OF WORK 72 p L1 ADD , S ✓� C� -e <br /> BUILDING SIZE &� 1 SQ FOOTAGE I 6 HEIGHT �® <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> r _ <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ F1_ <br /> Arrlrl�t* <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION n/ „ r <br /> =GAS = ROOFING Q SPECIALTY = OTHER �` 'J�/C� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY �� O /l�'�Gdr. �O. artor <br /> SIGNATURE ! REGISTERED Y/ N FEE CURREN Y/N O <br /> Address 1� �'/�C� �L- License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LX1 N <br /> Address License# <br /> 11111111111111111111111111111111111.11111111111111111111111111111111 <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 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. (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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />