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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> . . Building Department <br /> Date Recefved Phone Contact for Permitting — <br /> �Owner's Name t Owner Phone Number ��3� �G Z- 6 Z i '� <br /> /� � $/ <br /> �Owner's Address .�Z /��` S�z� � Owner Phone Number 3 ' �5�$"- 3G�5� <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address `� <br /> � r-� <br /> �JOB ADDRESS �2 I'1 ���� /!����l2 J►. I+r C LS t �s S�Z LOT#_ u <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> r-- <br /> DESCRIPTION OF WORK� S�(�C.��j�,b E� �/�/��� � <br /> ,\ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � v <br /> QBUILDING � $/] 1�'�� VALUATION OF TOTAL CONSTRUCTION <br /> G- J V <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` �" <br /> ' �((/ <br /> � �J / <br /> QGAS Q ROOFING Q SPECIALN Q OTHER � � (/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMAAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. - - <br /> _ MEnimum ten(10)working days after subniittal date: Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciltUes&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 /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500,a Motice of Commencement is required. (AIC upgrades over$7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />