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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' . Building Department <br /> Date Received �� ��� � phone ConWct for Permittin � �U - ��O J j <br /> Owner's Name K ` m I(1 '�/� Owner Phone Number D��' p `�/ � <br /> Owner's Address �� � •'f(n � Owner Phone Num6er <br /> Fee Simple Titleholder Name N Owner Phone Number <br /> Fee Sfmple Titleholder Address � <br /> JOBADDRESS �� � UI -T�n �Y� � /l�C LOT# � <br /> SUBDIVISION �l1✓e�o�lcs PARCELIDlF O� ��`�������a�� a��cx� - c�9�v <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK rI C C r"T� O� ��� '(v''� / S�C�� r�1 7/�1'� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br />' QMECHANICAL $ �7/� / p,� VALUATION OF MECHANICAL INSTALLATION <br /> / l <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br />� SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRrtEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY � ����v(�-Pf <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �-{y✓ (X J����" /� License# I-T C � �S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIII111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sani[ary Facilities&1 dumpster.Site Work Pertnit 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 /> Fiil out application completely. <br /> Owner 8 Contractor sign back af application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A1C upgrades over 57500) <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 (capy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />