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813-780.0020 City of Zephyrhills Permit Applicatio 021 <br /> Building Departme <br /> Date Received (>7 1 <br /> �� Phone Contact for Permitt g —11 1 <br /> i"llllli <br /> Owner's Na Y Owner P one umber <br /> Owner's Address 1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 �(//]V LOT# <br /> SUBDIVISION PARCEL ID# 9— c 7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED VNEW CONSfR B ADD/ALT = SIGN = = DEMOLISH . <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Vv 1 <br /> BUILDING SIZE I I SCI FOOTAGE HEIGHT <br /> RRR-RRRi-RRi.Cii-RR"Ri"R"RRR-R]rCR"LXW-LIL Li"R-LZ-C""RR"RRC;iSR-CC"4"ICZR.;;tw-iL-LXILi-itiICLJ <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION&,�O „*-5.a ip <br /> LECTRICAL $e p� AMP SERVICE ?RIORESS6ENERQ W.R.E.C. / <br /> P 111 <br /> LUMBING $=MECHANICAL $ VALUATION OF MECHANICAL INSTA <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRENJ I YIN <br /> Address License# (� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY p <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N P� <br /> Address License# <br /> litals.11lils.11lllllall.list.agalStanassllll-it/lilitlI as21aliallllls1,.111 (� <br /> RESIDENTIAL Attach(2)Plot Plal tion ns;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construc , � <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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,Stormwater Plans w/SIR Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali 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.(AIC 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 />