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` Y9 Fax 813-780-0021 <br /> 813-780-0020 City of Zephyrhills Permit Application V <br /> Building Department -�_� <br /> Date Received Phone Contact for Permitting ^ ' 7 —e�al <br /> Owner's Named (.. <br /> 9 ' Owner Phone Number <br /> Owner's Address c d Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> !!1 <br /> '' <br /> JOB ADDRESS l LOT#. <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION [�r BLOCK 0 FRAME C= STEEL Q <br /> DESCRIPTION OF WORK Ar '�� � CAW � G1t,c lI" <br /> BUILDING SIZE —� SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> �MECHANiCAL $ 0 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN, LILN <br /> Address - License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I REGISTERED Y/ N-i FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> a n/� <br /> MECHANICAL COMPANY <br /> SIGNATURE i REGISTERED Y/ N I FEE CURREN I Y/N <br /> Address j1' Ar IG1"i C License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# 1 <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 /> r Sanitary Facilities&1 dumpster,.Site;Work Permit.for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building3;Plans plus.:a-Life Safety Page;(1)°set of Energy Forms.R-O-W Permit for new construction. <br /> f Minimum ten(10)working,days after submittal-;date:,,Required onsite,Construction'P.lans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities.&I dumpOer.Site Work Permit fbe'a14 new projects.All.commercial requirements must meet compliance <br /> € SIGN PERMIT Attach(2).sets of Engineered,P.,lans. <br /> f ***"PROPERTY SURVEY-,required for all NEW-construction. <br /> E DLrections: <br /> ffff Fll:.outappiication completely. <br /> Owner,&-Contractor, signsback;of applica#ion,notarized <br /> If'over.-250ka Notice of:Commencement4a required. (NO upgrades:over$7500) <br /> ** Agent(for the conthactor).or Power.of Attomey(for the owner)'would'be�someone with notarized letter from owner authorizing.same <br /> CVER=THE COUNTER PERMITTING r_(copy,of contract required): <br /> Reroofs if shingles Sewers,, ,, ,Service-Upgrades A/C Fences(Plot/Survey/Footage) <br /> 'Driveways-Not over Counter,#on pii !6roadways:.needs ROW <br /> ' , .. say,•ti..a-.....az.a.... ._,. n - _ - <br />