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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 N 1k) ''" Owner Phone Number <br /> Owner's Address e_/l Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address p? c <br /> JOB ADDRESS ®� -S �� r�L 33 , LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0' COMM = OTHER <br /> TYPE OF CONSTRUCTION El BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK S— d 1Ae S �e t� L�l� rYjo S'' <br /> BUILDING SIZE SO FOOTAGE= HEIGHT l <br /> =BUILDING $ G�t% VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ I" <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / l <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS —7FLOOD ZONE AREA =YES NO <br /> BUILDER �l �,at�a COMPANY <br /> SIGNATURE lzal REGISTERED Y/ N_J FEE CURREN <br /> Address 1360 GU,�;V S r G14 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 <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# <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 subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building7 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&I 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. (AIC.upgrades over$7500) <br /> " Agent(for the contractor)or Power.of Attomey,,(for the;gwner.)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING: ": ``(copy'of contract required) <br /> Reroofs if shingles $ewers S,4kbb Upgrades�_kk S Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public road waVs::Hbeds-ROW <br />