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813-780-0020 City of Zephyrhills F'ermit Appiication rax-ais-iuu-uu�� <br /> Building Department <br /> Date Received " <br /> Pho�e Contact for Permlttin — <br /> Owner's Name ��° .� �'e �� Owner Phone Number <br /> Owner's Address 3�J � l. CL�����'1 �UP Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Numbsr � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS - r� U Gc w � A��1 r/ �� LOT # � <br /> SUBDIV1310N ��/lai �/c �''C�je , PARCELID# ��Zs`Z��'�C�j'� <br /> 9 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK b f v� C�f C� <br /> ,Q' f <br /> BUILDING SIZE Ll � FOOTAGE l v� HEIGHT b <br /> QBUILDING $ ��� �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/l� �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY Cvy l ���C'Z <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �/S� u �t G� 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 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, Construcllon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilit(es 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufe Safety Page; (1) set of Energy Fonns. 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 8 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 requlred for all NEW constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of applfcation, notarized <br /> If over 52500, a Notice of Commencement is required. (AIC upgrades over;T500) <br /> *' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />