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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Ff <br /> Phone Contact for Permitting <br /> [i[[[[aa [[[[[ <br /> Owners Name / Owner Phone Number <br /> Owners Address (fl�� � C� V7 Owner Phone Number <br /> Fee Simple Titleholder Name / Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESScy—n n LOT,## <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW <br /> CON�RALL e REPAIR <br /> = SIGN = = DEMOLISH <br /> INSPROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BL CffK Q FRA E STEEL <br /> -12 <br /> DESCRIPTION OF WORK C/ <br /> r=BUILDI SIZE SQ FOOTAGE HEIGHT <br /> ILDING $ 4 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ h AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� O <br /> =GAS ROOFING SPECIALTY = OTHER llllll fFINISHED FLOOR ELEVATIONS n q ' FLOOD ZONE AREA =YES NO (� <br /> BUILDER o COMPANY 51 1 cyQ r J <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 1 38oa GVAr) (o' $ License# I CC G 1 7 <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 I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN I Y/N <br /> Address License# <br /> i Z[i i[[i i i <br /> RESIDEN Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale.Required onsite,Construction Plans,Stornwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Storrnwater 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 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 madways..needs ROW <br />