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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name Y-1 Owner P onber <br /> ,� <br /> Owner's Address l/ •S1+re �'� Owner Phone Number <br /> Fee Simple Titleholder Name "I ` f` Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �� `^' N 44, <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT �� <br /> BUILDING $ !_ _ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ G•� AMP SERVICE Q PRO RE ENERGY Q W.R.E.C. <br /> �ICCJ `��SS'ldY� <br /> =PLUMBING $. �V 1 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLKTION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER I /W <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . I. <br /> BUILDER COMPANY <br /> SIGNATURE ) REGISTERED Y/ N FEE CURREN Y/N <br /> Address I . License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE` REGISTERED Y/ N FEE CURREN Lyl N <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE URREP LLN <br /> Address License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED -,,Y/ N FEE CURREN Y/N, <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, Y/N <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,Sti rmwater 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. (AIC 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 A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />