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�? 913-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ''Z �j Y <br /> Phone Contact for Permitting p <br /> Owner's Name `� Owner Phone Number �— <br /> Owner's Address �a33 S z� \\ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5`�.3� i Z LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR H <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = .OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT , \ <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION'of <br /> , <br /> =GAS = ROOFING Q SPECIALTY = OTHER V � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER o COMPANY <br /> SIGNATURE �\` REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Buildingi 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&11 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) i <br /> Reroofs if shingles Sdwers Service Upgrades A/C Fences(Plot/Survey/Footage)• <.•w• k••,:.,:.,.,,.,�.,,>;,,�,�,...,., <br /> 7 t�• tr" ''°`•e'a.:ea..,a..•-:.�....,� �P.[.'tl�f�.(h�:',%'�... ii.� �t,:: i' <br /> Driveways-Not over Counter if- n pulilic'roadways::needs ROW a ;: <br /> :?trY.,:3C•Jut;.�•nw.,z:r! .� ., sv.zr!L:;�';•:.:... ... . ... (gyp,; <br />