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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> .- Bullding Department <br /> Date Received ���S�'f y Phone Contact for Permittin 'J � � _ (//�� I <br /> Owner's Name � � .S W'6wner Phone Num6er b� ' <br /> Owner's Address � � Owner Phone Number <br /> Fee Simple Titleholder Name N Uwner Phone Number � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �V � l) O LOT# � <br /> SUBDIVISION ' � � . PARCELID# �}"aG"aI'O� '�✓W' ��T�YV <br /> , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPD.SED U.SE � SFR Q C.OMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK S L7 C T V � cJ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ I, �OO VALUATION OF TOTAL CONSTRUCTION <br /> • QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> ����� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS 0 ROOFING Q SPECIALN 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� '�OMPANY I� v(�Cp�Qr' �� l�. <br /> SIGNATURE � REGISTERED Y/ N FEE CURR Y/N <br /> Address � � T � License# ��.Q 8 � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br />' SIGNATURE REGISTERED Y'I N FEE CURRE� Y'!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIt11111111111111111I1111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 subdivisions/large proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 /> Dlrectlons:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of epplication,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />