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813-780-0020 City of Zephyrhills Permit Application rax-�i3-iau-uoz� <br /> Building Department <br /> Date Received - "� <br /> Phone Contact for Permittin - <br /> Owaer's Name � /t� Owner Phone Number G�'��Z'��7�� <br /> Owner's Address ,7 � � ` �� Owner Phone Number <br /> Fee Slmple Tftlehotder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .� G� lti�L G�GC i LOT # (+�� <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR �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 Q STEEL Q <br /> DESCRIPTION OF WORK jl�l� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $' AMP SERVICE ��G' �� PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ ' J,~.- <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l���� l <br /> 1 <br /> QGAS Q ROOFING Q SPECIALTY Q 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 REGI TERED Y/ N FEE CURRE� Y/ N <br /> Address � �?S� License # � � <br /> , <br /> PLUMBER C MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address Ucense # �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction,, <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence lnstalled, <br /> Sanitary Facilides 8 1 dumpster; Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Mi�imum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster. Site Work Pennit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW construcdon. <br /> Dlrections. <br /> �x����...�ii���� �iiaa.+ii <br /> Fill out application completely. <br /> Owner & Confractor sign back of application, notarized <br /> If over s2500, a Notice of Commencement is required. (A/C upgrades 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 shingtes Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />