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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received .�-� � f � �""((� � <br /> Phone Contact for Permittin ! ! ui/� — <br /> Owner's Name V1� �1'�'1 � � Wj G�' Owner Phone Number p �� "J�� �[� <br /> � <br /> Owner's Address � 5�� �! Y�� ��% s Owner Phone Number <br /> " � .�'l�� �� Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � � �� �v `C� � I�I'� t ,IS LOT # "t��� <br /> SUBDIVISION PARCEL ID# '' �" � — � ° (�'j� �j {,�Q °` �'��� <br /> (OBTAINED FROM PROPERTY TAX NOTICEJ <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � - y'Q'�Y � � �, S � � � l� � �� <br /> BUILDING SIZE SQ FOOTAGE I�(.J�' HEIGHT <br /> DING $ I j� t � � VALUATION OF TOTAL CONSTRUCTION <br /> '"i � <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENE13fn'( Q W.R.E.C. <br /> �PLUMBING $ �� / <br /> � ��'� (�`� i <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <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 PEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Ad ss License # <br /> OTHER COMPANY ti�Gl ��U �� J�-� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� �- Y/ N <br /> Address ��O t J � � t License #�l,Jc-�- l.�C�s� <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 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 submlttal 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 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;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 />