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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0 � <br /> � Building Department � <br /> ' 1�-� <br /> Date Received � � � (� <br /> Phone ContactforPermittin � � - � <br /> Owner's Name � Owner Phone Number 1 �� � Y�7 <br /> Owner's Address �� �J� 1�-�-� �e-. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S S �\�. LOT# � <br /> SUBDIVISION PARCEL ID# ` � l � t�/J l` O L�l�� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� � <br /> WORK PROPOSED B NEw CONSTR e ADD/ALT 0 SIGN 0 0 DEMOLISH � CZ� <br /> INSTALL REPAIR <br /> PROPOSED USE Q�FR Q COMM � OTHER <br /> NPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �e' r �c{�� D �- t(�"�C��I ��t��,-CI�2 �� �� 7 /�{r�\ Q <br /> ��:x <br /> BUILDING SIZE �(D � SQ FOOTAGE� HEIGHT k <br /> UILDING 3 }� ` VALUATION OF TOTAL CONSTRUCTION <br /> lJ <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> C'�/�U� // <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / / <br /> ��i�i��'-. �/ <br /> �GAS Q ROOFING • SPECIALTY 0 OTHER � �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � 3� <br /> �•1 �� �� <br /> BUILDER pANY \�(�S ✓/"��"'" ' <br /> SIGNATURE REGISTERED Y/ N FEE CURR A Y/N /i( � . <br /> C%' <br /> Address LicQnse# - - - � <br /> ELECTRICIAN COMPANY `' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Buiiding 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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(�0)working days aRer submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Sita Work Permit for all new projects.Ail commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out appiication compietely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />