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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> : , <br /> Date Received �il�vc. 2�—o2G 1 S Phone Contactfor Permitting �� 3 ��� — �� <br /> I Owner's Name �(� ' I Owner Phone Number O � �J�'y <br />! u � s� � � `� �� � <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> 2 , � ' � <br /> JOB ADDRESS 7g�a � I� o LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � 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 /> DESCRIPTION OF WORK � � (,I(� � � � S l�0� Pu G �� � �"�. <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> i <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ <br /> �,MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION <br /> a <br /> QGAS Q ROOFING Q SPECIAL I 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address I License# <br /> ELECTRICIAN COM I ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br />�' PLUMBER COMIANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address I License# <br />, MECHANICAL COM I ANY U`�1 n— ` e� (� ('�S�'tr C�SCO <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address � � ��°�-� �� � c � ��9' License# C �l,5���' <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construc6on, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facillties&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL 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 /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance - <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. , <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �irections: <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized � <br /> If over 52500,a Notice of Commencement Is required. (A/C�upgrades over 57500) ! <br /> " Agent(for the contractor)or Power of Attomey(for the awner)would.be someone with notarized letter from owner authorizing same„ _, ��,,,i,;, ., <br /> �VER THE COUNTER PERMITTING (Front of Application Only) - � � � � ' <br /> 2eroofs if shingles Sewers �. Service Upgrades A/C Fences(PloUSurvey/Footage) . � <br /> Driveways-Not over Counter ff on public;rQadways..needs ROW � ` � , i „ <br /> . _ ... ......�. . .... ... . ..._,_ . .. � <br /> � <br />