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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone ConWct for Permittin <br /> Tm - <br /> , Sc33s�s � RS <br /> Owners Name i V( .� " Owner Phone Number � <br /> Owners Address � Q ��" sf` Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number � -� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S �-- �� LOT # ( L�- [ <br /> SUBDIVISION PARCEL ID# �t -- a � " �G� IO '" � 0 7� �"� � I�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK L/j� � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION ______ <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENE Q W.R.E.C. <br /> �PLUMBING $ �� / /,' <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � � (� `L/ <br /> �{��o. �} v <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI: Y/ N <br /> Address <br /> License # <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL //� � COMPANY CKIr{ /� G, �S /T <br /> SIGNATURE /� REGISTERED Y/ N FEE CURREN Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Add ress <br /> License # <br /> 111111111111111111111111111111111111 <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) workinfl days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Buiiding Plans plus a L'rfe 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 PERMI7 Attach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A!C upgrades over E7500) <br /> "" Agent (for the contractor) or Power of Attomey (for the owner) wnuld be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />