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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received . <br /> Phone Contact for Permitting -- <br /> Owner's Name � Owner Phone Number <br /> Oevner's Address �� (� '� ( � Owner Phone Number I J`p�a�-��(� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �p�� � �� *t `y�, �,�j� LOT# � <br /> SUBDIVISION PARCEL ID# I - (.0� o�. 1 -OO\� - 5' ZX?'(���V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> - -- 1�!l06t6C-PROPOSED- _NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> �_.._� _--- - Q - ' _ �- <br /> INSTALL B REPAIR -- —� - - �� -`- - <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> '�'VPE OF CONSTRUCTIO(d Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF VIIORK �O�� �� litG��.,,$ � ia �� � (�.�� r -�s <br /> BUILDING SIZE SQ FOOTAGE (�CXJ HEIGHT �L \��a�V 1�" (�` I <br /> QBUILDING $ �l� VALUATION OF TOTAL CONSTRUCTION <br /> C,/ <br /> QELECTRiCAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/ ���� <br /> `l I � <br /> QGAS �ROOFING Q SPECIALTY 0 OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> BUILDER COMPANY - <br /> SIGMA�URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN CONiPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> E►ddress License# <br /> � <br /> AlIECHANICAL COMPANY <br /> SIGR�ATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER � COMPANY � � � �r�C�S <br /> SIGfdATURE � REGISTERED Y/ N FEE CU E� Y/N <br /> Address .. � License# C...CC-� a ��:./ <br /> 1tESIDENTIAL 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 subdivisionsAarge projects I <br /> COMMERCIAL AttacFi(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Ene�gy Forms.R-O-W Permit for new constructidn. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sa�itary Facilities&1 dumpster.Site Wark Permit for all new projects.All commercial requirements must meet compliance <br /> SIGfd PERMIT Attach(2)sets of Engineered Plans. <br /> •`"'PROPERTY SURVEY required for all NEW consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized , <br /> If over;2500,a Notice of Commencement is required. (/4/C upgrades over 57500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVEFt THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-IVot over Counter if on public roadways..needs ROW <br />