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813-780-002D City of Zephyrhills Permit Application Fax-ti13-780-UU21 <br /> • � Building Department <br /> Date Recetved � � phone Contact for Permittin - <br /> Owner's Name � --� `V�c ��-�- Owner Phone Number <br /> Owner's Address Owner Phone Number r � <br /> Fee Simple Titleholder Name � Owner P��ne Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � C�< < VI��� • LOT # � <br /> SUBDIVISION . PARCELID# (/ ���(� '" da D�/�o�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK "� � � ��) �v � i� — <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ I ,_ �� �j� v <br /> i�i l <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> 5 U � ----_ <br /> GAS Q 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 /> Address Ucense �! � <br /> OTHER � COMPANY � � <br /> SIGNATURE REGISTERED Y N FEE CURRE� N <br /> Address yl�'�� t"C�,�,� ��,L � L License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permlt for new construction,. <br /> Minimum ten (10) worki�g days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 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) woricing days after submittal date. Required onsite, Construction Plans, Stormwate� Plans w/ Silt Fence installed, <br /> Sanitary Faclfltles 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicatlon, notarized <br /> if over 52500, a Notice of Commencement Is required. (A/C upgrades over s7500) <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 PERMI7TING (Front of AppUcatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plof/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />