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/� <br /> 813-780-0020 City of Zephyrhills Permit Application � ( `��,ZZ�� � 3 x -813-780-0021 <br /> • Building Department �� � <br /> Date Received �� � _ � � <br /> Phone Contact for Permittin <br /> Owner's Name /d � �' �� I�'`'�� � � � �r 'v � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number �_ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��( ��/ U`� � S CC(� LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e 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 Q <br /> DESCRIPTION OF WORK � � �/ <br /> �' � ,. <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT V <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERG .... <br /> QPLUMBING $ , F <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �/ ��/ �� <br /> --,�_._-__...__, ...,,.�___.. ...,. i <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ��---- � :� A -� <br /> /� ( V I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO s/'j J <br /> / �, <br /> � <br /> BUILDER COMPANY ��C/.C/ �` � 0 U,S �� c/� O rt� � �— <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 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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Woric 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 construc6on. <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 ail 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 upgradas over 57500) <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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />