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813-780-0020 City of Zephyrhills Rermit Application Fax-813-780-0021 <br /> Building Department � <br /> _: <br /> Date Received � <br /> � Phone Contact for Permitting — <br /> wner's Name ►l C� � �9 v G Cd � ��wner Phone Number g6 3-�3�=3220 <br /> n �` �9d�����Z <br /> Owner's Address Y� (� Z �o'��(�K � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> • Fee Simple Titleholder Address - <br /> ` �JOB ADDRESS � �CG�/l_f(� LOT# � <br /> ;; <br /> SUBDIVISION � PARCEL ID# <br /> ,� <br /> �} (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �� WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN <br /> �� INSTALL REPAIR � � 0 DEMOLISH <br /> "i PROPOSED USE Q SFR Q COMM � OTHER <br /> ;i TYPE OF CONSTRUCTION 0 BLOCK Q F ME 0 STEEL Q <br /> !� � <br /> (� DESCRIPTION OF WORK <br /> �; <br /> i' <br /> �! BUILDING SIZE SQ FOOTAGE HEIGHT <br /> !; <br /> 4 <br /> ; OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> ) <br /> � QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C: <br /> i� QPLUMBING $ ���J� <br /> �� ,���� l <br /> �, �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> � <br /> � <br /> � <br /> ;� <br /> fi ILDER COMPANY C���-��.IU�<<- N��`Jd��" SV�S� <br /> � �IGNATURE G REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> ; ELECTRICIAN COMPANY <br /> 'i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> ! <br /> � Address License# <br /> � <br /> I PLUMBER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> i <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 FEE CURRE� Y/N <br /> �• <br /> Address License# <br /> l <br /> ;, RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building 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&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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, -- <br /> Sanitary FaciliUes&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$250U,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> "" Agent(for the contractor)or Power of Attomey(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />