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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received lir Phone Contact for Permitting - // <br /> Owner's Name C,o Owner Phone Number <br /> Owner's Address 8 -4 11 r' ��ct ��. Owner Phone Number <br /> Fee Simple Titleholder Name v iv'e, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D 0 -Z r AA f LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT. = SIGN DEMOLISH <br /> INSTALL R. <br /> REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL( _ <br /> DESCRIPTION OF WORK ! /� <br /> BUILDING SIZE fl X + SQ FOOTAGE HEIGHT <br /> =BUILDING Is <br /> am a 0o•O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER \' COMPANY © �N <br /> SIGNATURE f REGISTERED Y/ N FEE CURREN , Y/N <br /> Address - License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address , J License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN <br /> License# <br /> - - - <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN <br /> Address License# <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 subdivisionsnarge 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 it 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) n <br /> Reroofs if shingles 'c—Sdwersu-��Service Upgrades_A/C- Fences(Plot/Survey/Footage)`; n <br /> Driveways-Not over Counter.;ifoW.public road+n(ays.need's iOW <br /> ' ;j <br />