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813-78U-Up20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . r <br /> Date Received 5- 2� � � <br /> Phone Contact for Permittin �le�j 3 p� _ ��� <br /> — Owner's Name � � � ( Owner Phone Number ��5�? �O - 0000 <br /> Qwner's Address �j ?j3r �` Owner Phone Number � <br /> / <br /> Fee 5imple Titieh �' Owner Phone Number <br /> �---��� , <br /> Fee Simple Titlehotaer Address <br /> JOB ADDRESS � � Q '�'�'` L �� <br /> LOT # <br /> SUBDIVISION , PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT C� SIGN Q [� DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME [-] STEEL Q <br /> DESCRIPTION OF WORK - � .� ` e <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE f-1 PROGRESS ENE <br /> I 9�S$ .00 L---� � W.R.E.C. <br /> QPLUMBING $ <br /> � /��� 1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY � <br /> �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address � <br /> License # <br /> ELECTRICIAN � COMPANY ��'O� � a(u5�f IA.� � GLTrIC. L,L <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � Ob0 'L ( ''�'l <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address <br /> License # <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 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attac�h (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 �equirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out appiication comp�etely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A!C upgrades over;7500) <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 />