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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name T'C C�, p�" �) Owner Phone Number <br /> Owner's Address 5 f.� 1 G L Il..1/ L� 1 c�1 / f 3J �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> , JOB ADDRESS LOT# � <br /> !� SUBDIVISION PARCEL ID# <br /> �� , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �� WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> �� INSTALL REPAIR <br /> �� PROPOSED USE Q SFR Q COMM � OTHER <br /> ii TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> �� DESCRIPTION OF WORK Q V(f f�� <br /> i, <br /> �� BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �� OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �7 <br /> {i �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C: <br /> i� <br /> OPLUMBING $ <br /> :{ <br /> � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />, ,� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br />� I <br /> � <br />� � <br /> i BUILDER �� COMPANY D {XQ -e G <br /> I: <br /> li K SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> a <br />'I � Address License# <br /> I p ELECTRICIAN COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N .FEE CURRE� Y/N <br /> � <br /> Address License# <br /> � <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 /> l. <br /> � Address License# <br /> i <br /> ;• <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 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 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$7500) <br /> *' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OYER THE COUNTER PERMITTING (copy of contract required) <br /> I Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />