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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 /> —Z� E/_?_) <br /> �p <br /> Owner's Name Q/ Owner Phone Number 61)7t,� <br /> Owner's Address �0 t Q� A (/eAAj4J?_1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS d� I Vim , ✓PNI,I e LOT# <br /> SUBDIVISION Gt �$� PARCEL ID# ���-2f• aS V, (J0000- O g <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR® ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK S �/ OY e / i r <br /> BUILDING SIZE SQ FOOTAGE HEIGHT r ._ <br /> BUILDING �UATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> `v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 8'V_ l - -p=GAS = ROOFING 0 SPECIALTY = OTHER ccFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N( <br /> BUILDER Ck ' �J �� COMPANY U hAV—Oi) <br /> : SIGNATURE , REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> .PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N_J FEE CURREN Y/N <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 I License# <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,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 wntractor).or Power of Attomey.(for the_owner)would be someone with notarized letter from owner authorising 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 roadwa-ys..needs ROW <br />