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� .- � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ' , Date Received phone Contact for Permitting <br /> OwnePs Name 1//� l.C. C���� Owner Phone Number � <br /> Owner's Address �v � � �`/�7e�� �� �,�� ,�--pWner Phone Numhe� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholdar Address <br /> J08 ADDRESS ,� ���v"1 �1.. ( �`� �. LOT# � <br /> SUBDIVISION l� ' )�L/C��t�V/ �ARCEL ID# (/,�p �'r�/"��a�� �°����✓' ✓�"/4� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR �, <br /> PROPOSED USE Q SFR Q COMM � OTHER � ?�� �,-, �� .� <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q :✓ <br /> i <br /> DESCRIPTION OF WORK �/�� ` • � � � ,�,� ,/�j L'��A✓ <br /> BUILDING S¢E SQ FOOTAGE HEIGHT � <br /> �BUILDING $ C'� VALUATION OF TOTAL CONSTRUCTION <br /> ,J <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �\` , ' 1 <br /> � 1 J <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \ <br /> �GAS ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> I BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURREA Y/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 I N <br /> Address License# <br /> OTHER COMPANY f�� �✓ <br /> SIGNATURE EGISTE ED Y/ N FEE CURRE� Y/N <br /> Address ��" ( / ,v �/' ' t�y�� License# ' _� �'�� I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllltlll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <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 after submittat date. Required onsite,Construction Plans,Stormwater Plans 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 alI NEW construction. <br />� Directians:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wi[h 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 Counler if on public roadways..needs ROW <br />