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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 Permiltin <br /> Owner's Name Owner Phone Number <br /> Owner's Address �CJ 10 �'( �[J Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT A � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PItOPOSED e NEW CON57ft B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK G 5 1 h�N(. A 9 b' p V)�.���� 1�✓ s�'r �M11 ,s <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> BUILDING $ b� O O S VALUATION OF T��L CONSTRUCTION <br /> �ELECTRICAL $ 4 OOO AMPSERVICE Q PROGRESSENERGY � W.R.E.C. <br /> �PLUMBING $ � O Q Q ���� t / <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> 24 ZZ� ��,��� <br /> �GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS /, •�D FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY M ��NV(//� lil�-, <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y I N <br /> Address o0 �� ��✓I, �� /� License# G C. 1 S D 1 Zl7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � �� REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# <br /> MECHANICAL � COMPANY <br /> SIGNATUIQE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> S 7� OTHER COMPANY <br /> ���1 SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � �J <br /> �x Address <br /> License# <br /> ��� Illlllllllllillllllllllllllllllllllllllllllllllllllllllllll 1111 <br /> RESID ch(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Reqwred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atlach(3)complete sets of Building Plans plus a Life Safely 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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 ou[application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />