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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (t 12v� Phone Contact for Permitting e(3 <br /> tt\ttt�a ■aaat <br /> Owner s Name l Vi LCLt Owner Phon e Number <br /> Owner's Address � ` ( ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / JOB ADDRESS �( ( ( r- ilr s F 3j�3y y� s�L^OTT# �y4syr y�`Ti`L <br /> SUBDIVISION PARCEL ID# ` s�/`r D0Il0 72W "D li(V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR - ADD/ALT = SIGN = = DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK go-'PlatirnA R 2,21 <br /> BUILDING SIZE SO FOOTAGE® HEIGHT Cl <br /> =BUILDING $ p o�G� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ f C� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> r (f <br /> BUILDER COMPANY ✓ie vueel 4 <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address F License# <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 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 CURREN Y/N <br /> Address License# <br /> ■\\\1\'■tiilti\■ii!■ttttf\i\\lttttliilii\tilttt'!\ili1 <br /> 1 <br /> litttt\\ttaii\aI <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 /> 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 /> 1 ) <br />