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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department • <br /> C�ate Recvived _ <br /> Phone Contact for Permitting <br /> Owner's Name �'/ 4 � .r �% Owner Phone Number <br /> Owner's Address ��� �F �tL� ' � Owner Phone Number 7�� �a�"o�7l}� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ' � � �S /`L � LOT# '� <br /> i� SUBDIVISION PARCEL ID# <br /> �; (OBTAINED FROM PROPERTY TAX NOTICE) <br /> j 1 WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> �i INSTALL REPAIR <br /> j j PROPOSED USE Q SFR Q COMM 0 OTHER r/ /cp.rit,•,� <br /> fI TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> i. <br /> }; DESCRIPTION OF WORK ff-C'/ -1 o � <br /> �fr <br /> lf BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> j� OBUILDING $ <br /> , VALUATION OF TOTAL CONSTRUCTION <br /> �{ <br /> 'I ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C: <br /> � <br /> !� �PLUMBING $ <br /> �; �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ,� QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> �i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> 3 <br /> .1 <br /> / <br /> 1 <br /> BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> r. <br /> � Address �3 e5� QC�C d lL+ �IQ/s�� "G ��1� $ 9 License# <br /> � <br /> � ELECTRICIAN COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> � <br /> i <br /> � PLUflABER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> � Address License# <br /> � <br /> MECHANICAL COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> ! OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �,. <br /> Address License# <br /> i�� <br /> i 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 Facitities&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 Facilities 8�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 wnstruction. <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$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 01/ER THE COUNTER PERMITTING - (copy of contract required) <br /> Reroofs if shingles Sewers� ��Service Upgrades A%C Fences(PlobSurvey/Footage) <br /> 'Driveways-Not over Counter if:on public roadways:.needs ROW <br />