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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Datts Receivc�i �� � � � / <br /> � /� Phone Contact for Permitting � 3 lr� � <br /> Owner's Name �d-'� /J �G� �j'�'QS v Owner Phone Number — (p —�y� <br /> Owner's Address ��a /` � �� � ���e.$ i3 (�L Owmer Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number ' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ��� I�yO • - 3 �S y'L— <br /> LOT# �� <br /> SUBDIVISION PARCEL ID# I � ��P �I' DO�O ^ �1.?DD— �D�/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER I <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � " /i�t' �/1 v �Loj /1� � �� � � �O h') �� <br /> f � <br /> BUILDING SIZE SQ FOOTAGE / 'S d � HEIGHT � <br /> QBUILDING $ �'-�/3S� O� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �� � j�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I <br /> Q GAS ( v�r <br /> �� ROOFING Q SPECIALTY C] OTHER �` J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> _ BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 9►ddress License# <br /> ELECTRICIAM COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> PLUMBER COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address _�-- License# <br /> OTHER COMPANY O f�i,°�� I �D� ' <br /> SIGNATURE / REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� �/ ��vl� C�`s-� '�C License# C C�,5� ,�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new wnstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Wark 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 w/Silt Fence installed, <br /> - -- Sanitary 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 all NEW construction. <br /> Directfons: <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 a7500) <br /> " Agent(for the conVactor)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 Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public'roadways..neetls ROW <br /> - _ . ,�,; , =, ; ' <br />