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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � - l �- � U/� <br /> Phone Contact for Permittin -- <br /> Owner's Name � ,Q .� Owner Phone Number .3� Sv <br /> Owner's Address � 7 �_ Owner Phone Number <br /> _---- <br /> Fee Simple Titleholder Na --- Owner Phone Number <br /> __`,_ `-_� s J,_..._-- �---__ <br /> Fee Simple Titleholder Address f �-- '- - <br /> JOB ADDRESS � � � � LOT # � <br /> SUBDIVISION , PARCEL ID# ��' Z(o - Z/ - Qp �Q - po o - 00-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRiPT10N OF WORK <br /> BUILDING SIZE f 3 ��� SQ FOOTAGE �� HEIGHT <br /> UILDING $ �- � OF TOTAL CONSTR___ ___.-% <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS E,Pd�t2GY Q W.R.E.C. <br /> ; <br /> QPLUMBING $ C,�� � <br /> J� � � U <br /> �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � �, '" COMPANY ' �iCN 0 ��` <br /> SIGNATURE �/ � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License# C-C� � 5 7��Z.._ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 FaciUties & 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/ 5ilt 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 /> Dtrections: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement Is raquirod. (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 />