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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recel4d .2 126t <br /> I I I / Phone Contact for Permitting <br /> LJL- ne a I s I I I I I I I I re <br /> Owner's Name o <br /> wner Phone Number <br /> Owner's Address <br /> -1 d <br /> wher one Number F <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION 1 PARCEL iD# 5-N-on5b-ovoco- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR F__1 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 4"-� A< SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> I - <br /> =PLUMBING Ir <br /> I <br /> $ 1 <br /> eo <br /> =MECHANICAL $ <br /> VALUATION OF MECHANICAL INSTALLATION 1 <br /> =GAS Q ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4.4.44— <br /> BUILDER COMPANY c V"A4(k-dVv ZIC phlL <br /> SIGNATURE REGISTERED Y/fN FEE CURREN N <br /> Address f L License# 1 20 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE` REGISTERED Y/ N FEE CURREN LYLN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L.YI_N J <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LyLN_LJ <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/Slit 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,Starmwater 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 />