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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received C phone Contact for Permitting ' 3 3 S — �V 5 <br /> Owner's Name W S G d V Q sM v-- Owner Phone Number <br /> Owner's Address I Ca Lw GN v ce-3 Owner Phone Number <br /> Fee Simple Titleholder der Na Nam ! ` �d��� Owner Phone Number <br /> Fee Simple Titleholder Address // <br /> JOB ADDRESS 1 bNJ LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW COLSTR B ADDI REPAALT IR SIGN = = DEMOLISH <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION '= BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �♦ , S — G.S �'S \�►�^� <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> EVALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ Q OCR ©CAMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ j� P o <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Z � <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> � C� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> —_ �\ <br /> 1_—Addressl __3_ ---License`#- <br /> ELECTRICIAN COMPANY �— �S STVF��� T`� `� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address F\1 qA License# C.puG�CJZ.. <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIII111111111111111111111111111111111111111111111111111111 <br /> 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,Stormmwater 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />