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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 7 Owner Phone Number _. Q <br /> Owner's Address �I O 'ty Amiz '4axi Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS HO: LOT# <br /> SUBDIVISION PARCEL ID# O 0 o?oZ 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT u SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 4Q <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBlNG 1$ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# �- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Lyl N <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN <br /> Address License# <br /> MECHANICAL - COMPANYft1 L <br /> SIGNATURE rrQQ REGISTERED Y/ N FEE CURREN VXLN p <br /> Address 1,10.2 3S /lJ 6 License# 6 t1 ��(� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YY N <br /> Address License# I <br /> 111111 / i ! ! 1ilFilialitilll1111l1 ! liii ! l11i1l1111 ! l111 ! ! liliiili ! lill <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 /> _i . .—..._. a . ... . ■ ■ . ■ ■ . . ■ . • • • . . • . • • • . . ■ . . ■ . . . • . • <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(far 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 />