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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 Permittin �� � _ <br /> Owner's Name �- L L� l� � i'l Owner Phone Number ��p� �� <br /> � � C <br /> Owner's Address � �i . Tl� -� r �-' J Owner Phone Number <br /> e � ��'�� �� ���� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��C' I f� r � �- irYL 1 t� S LOT # C� <br /> SUBDIVISION ��jy^ �� �(�� rS PARCEL ID# L — '' � ' ' ,� <br /> (OBTAI D FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B WSTALLSTR e REPAIR �� SIGN Q Q DEMOLISH <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION �] BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � '� S 0.0 ` i� l i S �Q; <br /> � <br /> BUILDING SIZE SQ FOOTAGE �`UC) HEIGHT ---- <br /> QBUILDING $ �t I � � � VAWATION OF TOTAL CONS UCTION �� �� � � (� �25� <br /> `1 ,_.,,, <br /> DELECTRICAL $ AMP SERVICE "�`�'�� � <br /> Q __��$S ENERGY � W.R.E.C. <br /> : , i <br /> QPLUMBING $ � � �` <br /> � ,���0 1 , 1 � d _�. <br /> OMECHANICAL $ VALUATIOH�OF�•MEE�-IANICAL INSTALLATI � <br /> OGAS [� ROOFING Q SPECIALTY � OTHER <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 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> dress License # �— <br /> OTHE - � COMPANY Y �✓�O �ir'� = <br /> SIGNAT REGISTERED / N FEE CURRE� Y/ N <br /> Address 3 � � S� � � License # � � ,7c�:��%� <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 Pians, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work PeRnit 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 /> D(rections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over;7500) <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 />