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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 �� � <br /> Owner's Name �-4►�'1 L �� � .� 0 Owner Phone Number A� J e�(/p� — 3� (� <br /> Owner's Address � �� Owner Phone Number <br /> Fee Simple Tltleholde� Name Owner Phone Number <br /> Fee Simpte Titleholder Address <br /> J08 ADDRESS �Jl �� � � SI-• � � n ��� � �x LOT # C� <br /> SUBDIVISION PARCEL ID# � L Z�G' � ' �-�IC � �Lv� ` ��lS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B W TALLSTR e REPAIR ��_�N Q Q DEMOIISH <br /> PROPOSED USE Q SFR Q COMM � OTHER Vh� � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK '�lV" � . P" �2 � �j �;T� 1 �� � � C � p t� �C. �( � <br /> BUILDING SIZE SQ FOOTAGE ����! HEIGHT <br /> �BUILDING $�{�-� �� . VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - I(" t I <br /> � <br /> QGAS � ROOFING Q SPECIALTY 0 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 I N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OT R -6�NIPANY �� �D �, .� , <br /> SIGN REGISTERED Y/ N FEE CURRE� / N <br /> Address �� l� �� 1( C� License # �C- � � �� <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 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 requlred 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 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 />