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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> , <br /> Date Received Phone Contact for Permitting - � <br /> Owner's Name G�Yt� �-l/�� Owner Phone Number � 0� � V• C� y <br /> Owner's Address ���02 s Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS � (� ! � LZi��r �s��;ofi( LOT# � I <br /> SUBDIVISION / �' Qo PARCEL ID# (/ � (o p2,� o� � Q Q Q Q(�/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH , <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM [�] OTHER �/ L <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> // d � r <br />!, DESCRIPTION OF WORK !/y�� (�(!�� � /�j j <br />� BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I � ��� <br /> ��•� � <br /> OGAS Q ROOFING Q 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 C..� �/.� �(� <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� N <br /> Address / /� � B/' - �r � 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,-Constructiort-Ptans,-SQormv✓aterPtans-wl-Silrr=ence ins4alted, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius 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 instalied, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali 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. (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 /> OVER THE COUNTER PERMITTING- " (Front of Application Orily) �� + <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW _�. <br />