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, ____., 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for PermltNng <br /> Owner's Name ,,J `la (� r Owner Phone Number � ""—� �,�', � <br /> � <br /> Owner's Address „ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � - �� � � <br /> � 'S�oT# <br /> SUBDIVISION �, V� PARCEL ID# �� �� a/'��� ^�'U�E'� <br /> � .�j� (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e IADD/ALT � SIGN Q Q DEMOLISH^ <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER �2 � i <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEE Q <br /> DESCRIPTION OF WORK � � � Y � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W�tR.E <br /> OPLUMBING $ {� "� <br /> �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING 0 SPECIALTY � OTHER <br /> �`�' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURRE� 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/N <br /> Address License# <br /> OTHER COMPANY � �C-Q O I <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> � /�� ^ �t <br /> Address License# � � v <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 submittal 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 all NEW construction. <br /> Di�ections:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commeneement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Atlomey(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />