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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 a — 'U L���� <br /> Owner's Name �Y'Y' J. �'� H°LCl Owner Phone Number 0�"��� J` ���� <br /> Owner's Address �� � ��Q�-�.r� �� ►^'i CX- ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SQ� LOT # � <br /> SUBDIVISION C�, PARCEL ID# �"1 �- 1- o i 30 - - u g <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��S SC�U `✓�'1W1 O` ' p v� <br /> BUILDING SI2E SQ FOOTAGE HEIGHT <br /> QBUILDING $� p ` C7� VALUATION OF TOTAL CONSTRUCTION <br /> O <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� � ^ � <br /> �� � <br /> � � �'��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (^ ' C� <br /> ,� � � <br /> � <br /> QGAS � ROOFING Q SPECIALTY � OTHE� t L �,�� ' �� <br /> FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA YES NO � <br /> BUILD , y COMPANY W� 1'r!' <br /> SIGNAT REGISTERE� 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 License # <br /> OTHER COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-O-W Permit for new construction, <br /> Minimum ten (10) workiny days after submittal date. Reyuired onsite, ConstrucUon Pla�iis, Stormwater Pians w/ Silt Fence instalied, <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/ 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 /> 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 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 shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />