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r 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting rrTrrrrrrrrr <br /> Owner's Name �1��� CSlN/5 Owner Phone Number <br /> Owner's Address (Q �Q �ZG�oT�/If.� &//7L- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addr <br /> ess D �/ <br /> JOB ADDRESS LOT# <br /> SUBDIVISION Sj�(/�2 Q� s PARCEL ID# ® 3 ��'Zl �l rP�' ©d®019- 9 3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK ,119 L <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ of 0® °�' VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ q (� B <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f J <br /> r <br /> =GAS ©� ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License <br /> %# <br /> OTHER �r COMPANY ✓P/! (/{/!/ /C /�0 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/>N)) <br /> Address Q 9ox, luy ` 1 ;5 License# 9_4 00. � <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building?lans 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&I 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 /> ----------------------------- <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 />