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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 Permitting — <br /> Owner's Name � <br /> �� ! t�s�i�� Owner Phone Number rj,j�'�S''�Y''s27-•G�� <br /> Owner's Address � �y�� �`� (Ob'��'� /� Owner Phone Number �� <br /> Fee Simple Titleholder Plame Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ����� � ��1i'�db � LOT# � <br /> suaoivisioN ' y�-Ifi'`°�� PARCEL ID# �Z�Z,�'��l�UZ "��'�a—JUZ a <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 /> TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q <br />� DESCRIPTION OF WORK � G `J �'��� � <br /> BUICDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VACUATION�OF`TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' <br /> OMECHANICAL $ ��f� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COAflPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License,# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> PLUNlBER , COMPANY <br /> SIGNATURE Re�isreReo Y/ N FEE CURRE� ' Y/N <br /> Address License# <br /> MECHANICAL /� Z CORAPANY a�'� � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address a��l i��I z�lJr $��ZS License# !'l1 C �'��3�� <br /> OTHER COMPANY <br /> SIGNATURE�,� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address.� - License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2):sets of-Building•Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> - Minimum_tem.(;10)working days aftersubmittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanita.ry,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 constniction. <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 fo�all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT i4ttach(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. (AIC upgrades over$7500) <br /> `" Agent(forthe confractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI'iTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadtirays..needs ROW <br />