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813-780-0020 City of Zephyrhills Permit Application Fax-s�3-�eo-oo2� <br /> Building Department � <br /> Date Received., n� <br /> - ' Phone Contact.for Permitting `1, ._ <br /> � <br /> Owner's Name 0 Owner Phone Number Q• �• � <br /> Owner's Address 1 �p Owner Phone(Vumber <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�1 l� e , b LOT# � <br /> SUBDIVISION PARCEL ID# �j• • L . D . � <br /> - - �- � � - -- ` - -- - F -- ---(OBTAINED FROM PROPERTY TAX NflTICE)_- _--- - -- - _ � - <br /> HYORK PROPOSED B NEW CoNSTR 8 ADD/ALT 0 SIGiV Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM.� � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q `FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK (' (,�; e, <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> �]BUILDING $ L� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �`�0�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY 0 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 - `� :i . . <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address �'� � �Ol 1'S License# �.0 � ��D <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 81 dumpster;Site Work Permit for subdivisionsAarge 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> San(tary Facilities&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 ail NEW construction. <br /> Directtons: <br /> Fill out application completely. <br /> Owner&ConUactor sign back of application,notarized ,� � ' <br /> If over�2500,a Notice of Commencement Is required. (A/C upgrades over�7500) . , <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter�ftom owner authorizing,satiae.�h�~°i ° <br /> OVER THE COUNTER PERMITTING (Front of Application Only) , , �_, .� � ''- �� ��•�'a'�"',- , U � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) •• ��=_t;:t � ; ' <br /> :�., <br /> Driveways-Not over Counter if on public roadways..needs ROW "�°' -�° '" �'- _ �°�•-��•��••�-,-�-�.••.�. <br />