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813-780-0020 Ciry of Zephyrhills Permit Application Fax-813-780-0021 <br /> ; Building Department <br /> Date Received �j ZQ� � p�G' _ I„'ZCO <br /> ' ! Phone Contact for Pertnitting � � l �[ 7 7 <br /> -t-1 f-1-1-1 1-1- - - --------�-�-�-j-� <br /> Owner's Name G �( �� Q�� �� Owner Phone Number l ,J �g V C� � <br /> Owner's Address Y �/ �Y ' Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple Titleholder Address � � Y ti (,(j . • <br /> JOB ADDRESS � f v�' �U� '✓Y ' LOT# � <br /> SUBDIVISION PARCEL ID# O "Z —V � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � , �i�/ 7" <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT <br /> � � � e � � � � e � � � � � o � � � � � � � � � � � � � � r� � � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �A (O�J <br /> � � �i .,' 1 <br /> �MECHANICAL $( � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �v� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES 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 CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> �� '� �.� �l � <br /> 51GNATURE REGISTERED Y N FEECURREA /N <br /> Address License# i 1 l C�cJ �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit 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 subdivisionsAarge 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,Construction Plans,Stormwater Pians 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br />� If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(tor lhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (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 /> I <br /> I <br />