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813-780-Q020 City of Zephyrhills Permit Application Fax-813-780-OQ21 <br /> Building Department <br /> Date Received �.-f �- �� phone Contact for Permitting - <br /> Owner's Name �� Owner Phone Number ��� ' q�'"Ctt%� � <br /> Owner's Address 3�� J'� OIQ��/� �� ��>�� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Numbe� � <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS �7G9 �� hfO � � Y �L.S �' � LOT # .S � <br /> SUBDIVISION G�Q6�l� i r0/1�!'�.t?JV� PARCEL ID# �7-�S'���I� �'i "L�O��D" �G'�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL Q OTHER <br /> DESCRIPTION OF WORK t� �� O� '/Il��(,.E� � id✓ � - i ANL� ��S1�I�lV� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $� f /�� oO VALUATION OF TOTAL CONSTRUCTION <br /> �y <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING �$ � <br /> � ��1�3� <br /> 0 MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS � ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address Lice�se # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # -� <br /> OTHER COMPANY T ' c7Dt NrC �LC. <br /> SIGNATURE /� REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address /3QK ��5� �,,," F(. ��`D License # �� /.�� �o�{O� <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 (3) 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 8� Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />