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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rect�ived Phone Contact for Permitting ��� ��j� __ ���� <br /> Owner's Name �U(l� � T�C`�( <br /> Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3�53�1�1 ��.� '� `'�Yh�4�5 �'�— 3�Su"� LOT# �� <br /> SUBDIVISION PARCEL ID# C�� " o1lD -� ���U' C�C�CX� "C�L ( lJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL � OTHER <br /> DESCRIPTION OF WORK i�C70`\l p)� (���,a(t �j1'�V� ��(0.�� - b y� St'�-�( <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> [� PLUMBING $ � r �..�,�� � � � � <br /> IJIJ � <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS 0 ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address C Lice�se # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> PLUMBER �`�,���� �`, n COMPANY 1 -�� - �1�5 �-• � I(�C, <br /> SIGNATURE �� � v'-'v`�� REGISTERED N FEE CURRENT N <br /> Address •�, 1( ?yp3�t Z �-�- 3353� License# ��������ppp1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address 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 subdivisionsllarge 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 /> Directlons: <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 $5000) <br /> '" Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />