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, , 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 8uilding Department <br /> Date Received phone Contact for Permitting — <br /> � � t 1 1 1 � � j � � � � � '��` ��'7�/'/ <br /> Owner's Name � ( I ( ' �.�� � �'! Owner Phone Number �l��to�J"Gi0`f' <br /> Owner's Address �/� � n 1' �� ��wner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS ZS+�� r �S LOT# � <br /> SUBDIVISION PARCEL ID# � - {�'~ V� <br /> ��/ (OBTAINED FROM PROPERN TAX NOTICE <br /> WORK PROPOSED e NEW CONSTR IaCI ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL LJ REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK v� J lO �.G� � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � � [ O � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I t <br /> � .� n,�� <br /> QGAS Q ROOFING Q SPECIALTY � 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 CURREA Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY (1 (,(JI� l�{!D'`/ C.� lf�t <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� /N <br /> Address 3 l �;J..J��� License# �'S ��� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIItltlllllllllllllllllllllllllllllllllllllllllllllllll <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,Stortnwater 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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days afler submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnil 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 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgredes 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 conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />