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813-780-0020 City of Zephyrhills Permit Application Fax-8�3-�so-oo2� <br /> , Building Department <br /> Date Received �—� 7'� ( I Phone Contact for Permitting O�✓ �v -- Q� <br /> ._�. <br /> Owner's Name ,a"7�� �A��� ����. �'�' _ Owner Phone Number _ '�/ ��� <br /> Owner's Address g�� �'� f/O Jf _ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � VD. LOT # C� <br /> SUBDIVISION PARCEL ID# D3'�� �0 (/w�"'��� � D�J7� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT [� SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR {� COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK I�GG� o� (��/D �✓G�J ��� � ��� �"" — '— <br /> BUILDING SIZE ya � %�' SQ FOOTAGE 7D� HEIGHT I S <br /> �� BUILDiNG $ ^� � � VALUATION OF TOTAL CONSTRUCTION <br /> ar <br /> � ELECTRICAL $ �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> • <br /> � PLUMBING $ ( � � �t7 <br /> � <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> Q GAS � ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address ri License # " <br /> ELECTRICIAN ' � ' COMPANY U�'�T '�" � �` <br /> SIGNATURE REGISTERED Y N FEE CURRENT / <br /> Address � ��. .7 �• � 3 ~ f�p1 License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> OTHER � COMPANY �P/'1f�G ..7✓v►f/ �+'^'���b � <br /> SIGNATURE REGISTERED N FEE CURRENT N <br /> Address .� A # License # Ga.�II f���� <br /> RESIDENTIAL Atlach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Mi�imum 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 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 �lans, 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 ali NEW construction. <br /> Directions: <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 (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />