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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 J[ 3 �� -� ,� <br /> Owner's Name a A� ° �L... a 'n ��� ��� Owner Phone Number Jl� `C � —�� v <br /> Owner's Address 5 r� o �� ����� Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� � �� t S/��'��( LOT # � <br /> SUBDIVISION PARCEL ID# �� �� � �~ C '�ab — �l�'j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> �� INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK I L K��� L ' L S�� 1^ �� �' �� ��� <br /> BUILDING SIZE l� X �/ SQ FOOTAGE ��� HEIGHT �� �� <br /> �BUILDING $ a � ) � � �. VALUATION OF TOTAL CONSTRUCTION <br /> i� <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ �i � �(.`� <br /> �� ���` <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER � I�� <br /> � <br /> FINISHED FLOOR ELEVATIONS FL�OD ZONE AREA �YES NO <br /> ` vt� t�1"I�e12 �11�C� 51��-�.1�5" <br /> BUILDER � ✓ COMPANY � <br /> SIGNATURE "� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � I V[ [.� C�� � �� v/,. �� � � 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 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding 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 E7500) <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 (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />