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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received � �� 5 � f _ � �� <br /> Phone Contact for Permittln J <br /> Owner's Name Owner Phone Number $ � ,3 , � �� -• O � <br /> Owner's Address �' p�. �� � Owner Phone Number <br /> Fee Simple Tltlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "l � -�/W �' �r' �,� LOT # � <br /> SUBDIVISION � � {N�Q , PARCEL ID# � � " � — a ( — D � — (1 (?(� � .� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK � ( �.�,(�l/ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � <br /> �MECHANICAL $ Q VALUATION OF MECHANICAL INSTALLATION l�� <br /> 3?d .o� ����0� <br /> OGAS � ROOFING Q SPECIALTY � OTHER C <br /> �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Llcense # <br /> MECHANICAL � /'%��� COMPANY I , '� G -a � <br /> SIGNATURE �e REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address pt V � � 3 ^ License # � � ��,5' �5 7 � I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 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) wortcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 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 comptetely. <br /> Owner 8� Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (AJC upgrades over a7500) <br /> '" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <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 />