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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 Permitting ��� �O�- —oi v�� <br /> Owner's Name � �a ���� Owner Phone Number <br /> Owner's Address S�� /—�D/lJ�/C°y` .�j� 3�� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D�Z� //'" ��'e /'TV�- � � � lG,�,S <`� LOT# � <br /> SUBDIVISION PARCEL ID# `� ��@ �� (/�i�D 1����D D� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� 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 0 STEEL Q <br />�, DESCRIPTION OF WORK �L/r7�l�L° � leQ �Q�G�� 5 TD/V S ��� ��[�, Z G' d�o <br /> I BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ 1 <br /> +�. 1 ��� <br /> QMECHANICAL $ ������ VALUATION OF MECHANICAL INSTALLATION '�C` <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 �/aM' A ` COMPANY H'�/2�S� fJ-/►�2�3 �-R�.=/��°/ <br /> SIGNATURE v"" "`'� REGISTERED Y/ N FEE CURRE� Y/N <br />, Address �/��/ /je � ��Z/���' License# ���� L� <br /> ��<'T� <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large 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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit 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 out application completely. <br /> Owner&Contractor 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 tlie owner)would be so�neone with notarized letter from owner authorizing`same"• - _, <br /> OVER THE COUNTER PERMITTING, , (F�ont of Application Only).. �, • � - � '�� � <br /> Reroofs if shingles Sewers Service Upgrades i4%C""' Fences'(Plot/Survey/Footage) ' , , ' �'' , �. � �_ti <br /> Driveways-Not over Counter if on public roadways..needs ROW � ` � - , , � � <br />