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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> /:= . Building Department <br /> � • Date Received 2 _ 1 <br /> Phone Contact for Permittin <br /> Ownets Name 1 V L T Owner Phone Number � <br /> Ownets Address �.J 7 �J Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , �� I"� r LOT# �O 4� <br /> SUBDIVISION �T ��P C � PARCEL ID!/ ��� —Z�' �(�^ � `�O�C� <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R ADD/ALT Q SIGN Q � DEMOLISH <br /> I e INSTALL e REPAIR <br />� PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��'Yf2r'� e� ` � r' <br /> BUILDING SIZE J� x � S�FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I� QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> � $ <br /> QGAS Q ROOFING Q ECIALTY Q OTHER <br /> 1 <br /> FINISHED FLOOR ELEVATIONS ` FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � ` r�j� �bf <br /> SIGNATURE REGISTERED N FEE CURRE� N <br />� Address � FI� J`t���p g License# <br /> ELECTRICIAN �1 /� COMPANY <br /> SIGNATURE t�► `� REGISTERED Y/ N FEE CURRE� Y/N <br />, Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE A REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE N 4 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE A REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIttllllllllllllllllllllllllllllllltllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsile,Construclion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Fortns.R-0-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.Sile Work Pertnit for ali new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> Directions:• � <br /> Fiil out appiication completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />