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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � ��.�'`� <br /> Dat& Received Phone Contact for Permitting �� �-- W`� <br /> Owner's Name � 1'1fj i 5a�� Owner Phone Number ���' ��� � V J� 1p <br /> Owner's Address J`� �� f Y1t�tX'�� 1�� . Owner Phone Number � � <br /> Fee Simple Titleholder Name ��'10 �SC1T'v Owner Phone Number <br /> Fee Simple Titleholder Address � ` � � �JO� 11 � ^ � � t � `� � � '��� <br /> JOB ADDRESS J�� WO n��l.� `�� • /'1 h � `�S �'"�L � J�) LOT # � `� <br /> SUBDIVISION PO[ �� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK G � � �60� ' I�c� w C�F �LK� /�'��� `' �� �'^ S �� <br /> BUILDING SIZE SQ FOOTAGE l�V � HEIGHT <br /> � BUILDING $ 5�b� �� VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> ; � PLUMBING $ / <br /> � !( �� � <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS � ROOFING �. SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES QNO <br /> ' BUILDER COMPANY ��•N'� ��C- i�4✓1 n <br /> , SIGNATURE - REGISTERED Y! N FEE CURRENT / N �� � Y� <br /> � Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> �, Address License # <br /> i PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> j <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> i 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 submittal date. Required onsite, Construction Plans, Stormwater Plans w/ SiR 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. (A/C upgrades over $5000) <br /> � "` Agent (for the contractor} or Power flf Attomey (for the owner) w�uld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> � Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br />