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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � j Building Department <br /> Date Received — ZZ � � Phone Contact for Permittin �� ��f g__ ��� <br /> Owner's Name �� ( �} �� � C 1 f'� !� � <br /> q1 O G Owner Phone Number _ <br /> Owner's Address 5 3�'� � V �' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � � � � � �� � vL. �� <br /> LOT # <br /> SUBDIVISION PARCEL ID# � 1 �a (. —�l ^ �l� "�� dO2�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK ��� l� j��/���GQ. S�� <br /> BUILDING SIZE �a X °2o SQ FOOTAGE �� � � <br /> HEIGHT <br /> �BUILDING $/ " r� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ �� ^ �-�/�J�� <br /> l./ �,'��_� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� (� <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> � 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER [/ COMPANY C�`�1� L e.0 �/�/,O (.7 <br /> SIGNATURE 4 � � REGISTERED Y/ N FEE CURRE� Y/ N �' <br /> Address / � C:��GL- /JL. !/� 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 Work Permit for subdivisionsllarge 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 & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over b7500) <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 />