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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ''� Phone Contact for Permitting <br /> Owner's Name - U t r 4-L S Owner Phone Number <br /> Owner's Address /O1��0 �a,C,C /L V Owner Phone Number . <br /> Fee Simple•Titleholder Name F Owner Phone Number <br /> Fee Simple,Titleh'older.Address JOB ADDRESS - VJZ) A-1,I <br /> n LOT# <br /> SUBDIVISION` PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 DEMOLISH, <br /> j e INSTALL ® REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION D,g BLOCK [� . FRAME -STEEL 0 <br /> DESCRIPTION OF WORK r ; <br /> 1; <br /> BUILDING;SIZE SQ FOOTAGE HEIGHT <br /> =B,UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENE Y W. <br /> [PLUMBING $ 099 i <br /> a <br /> =MECHANICAL [&� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> P. <br /> Ls I&0 <br /> BUILDER t COMPANY /19 2 <br /> SIGNATURE REGISTERED Y/ N . FEE CU(RREN N ` <br /> Address License# <br /> LECTRICIAN PANY <br /> GNATURE REGISTERED Y'/ N FEE CURREEN `yl N <br /> Address, I License# <br /> PLUMBER: COMPANY j <br /> SIGNATURE REGISTERED Y/ N';° FEE'CURREK Y/N <br /> Address License# I. <br /> MECHANICAL COMPANY <br /> SIGNATURE:', REGISTERED YJ N I FEE,CURREN <br /> Address License# <br /> OTHER;; ,; COMPANY <br /> .:'SIGNATURE REGISTERED Y/ N FEE CURRE�N <br /> Address License# ( <br /> . , <br /> -.RESIDENTIAL Attach.12)Plot Plans;(2)sets.of Building Plans;(1.)set of Energy Forms;R-O-W Permit for.new.construction' . <br /> Minimum terillO)working days aftersubmittal date. Required onsite,Construction.Olaft.Stormwater`Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/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..Requiredonsite,Construction Plans,,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of.Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directiohs: <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.for the contractor).or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER1HE.COUNTER PERMITTING (copy of contract required) <br /> Reroofs'if shingles Sewers Service,Upgrades AiC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> .t <br />