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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> _,Da.c i€�ceived Phone Contact for Permittin � S�( - 3 y��� <br /> Owner's Name t2. Owner Phone Number ��� � 7`����/�7 <br /> Owner's Address 7� � �fi h �"C�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Rhone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ( 2 7 �h �- LOT# � <br /> SUBDIVISIOPI PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED , e NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK �,ta-1 2 C9 � J 2`�� �e�C 2e� t,�rl S �� �-� c..{l�- <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �]MECHANICAL $ /��� VALUATION OF MECHANICAL INSTALLATION <br /> (J <br /> QGAS Q ROOFING Q SPECIALTY 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 - Lfcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPAMY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL � COMPANY �� (ioc ,I 1� Q �QCOO�►h 1"� � <br /> SIGNATURE REGISTERED Y/ N peE Cu ` Y/N <br /> Address � t� � License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Flot Plans;.(2)sets=of Building Plans;(1)set of Energy�Form`s;R-0=W Permit for new construction, <br /> Minimum.ten�(10)working days after.subrriittal date. Required ons(te,Construction Plans,Stormwater'Plans w/Silt Fence installed, <br /> Sanitary FaclllUes&:1;dumpster Site Work P.ermit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildirig Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constn�ction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Permit for all new proJects..All commercial requlrements must meet comptlance _ <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ' � - <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Ftll out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If ovar 52500,a Notice of Commencement is required. (AIC upgrades over E7500) <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 PERMIT7ING (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 />