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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 f� t� Gt 5� �2 l£ Owner Phone Number �� Z � 7 i 9 6 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� L O I v� �L %�i LOT # � <br /> SUBDIVISION PARCEL ID# I I� 1 'f —�' I' DdIO `� v� 7 �'D � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � / � <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ,.rJi'I �� <br /> C� <br /> QMECHANICAL $�� b �m�' VALUATION OF MECHANICAL INSTALLATION <br /> O <br /> OGAS 0 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 I N FEE CURRE� Y/ N <br /> Address License # –� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �CC� .3 5 � � <br /> MECHANICAL ��Q"( / COMPANY C A G O Y J r f Y� �� N2 ✓/ i£o q.d/C C� e <br /> SIGNATURE �L--- ---�' - REGISTERED Y/ N FEE CURRE� Y/ N �` <br /> Address y .�/ License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach f2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new constructlon, <br /> Minimum ten (10) working days after submittai 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 Pians plus a Life Sa€ety Page; (1 } set of Energy Forms. F2-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 Facilides & 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 /> Dtrections: <br /> Fill out appUcation 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 (Por 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 (PtoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />