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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received phone Contact for Permittin -- <br /> _�_ �__� <br /> Owner's Name ��/ � / '�' �L � � Owner Phone Number O �� "' "�r � <br /> Owner's Address J / L � /T� ! �f Owner Phone Number gIJ " � �� '� � 7 %� <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I /7�'1- • T7� T�/ ��`-' Z LOT # � D�" � <br /> SUBDIVISION i I � PARCEL ID# II�Z ��� �'�V�V ^ Z w"' � <br /> (OBTAINED FROM PROPERIY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OFCONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK T'T(.: GC c> ��IC�'� � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ �/ `�� <br /> �% CJ <br /> �MECHANICAL $�� / VALUATION OF MECHANICAL INSTALLATION �/ �� <br /> l � � <br /> �GAS � ROOFING � SPECIALTY � OTHER I � �'�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> -1-F-I--1--�}-:-+-�--�--i-� - <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL � COMPANY L � <br /> SIGNATURE ISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��d 2 -�� j ° �" ° 7 �L.S{�-�vZ 7 33 ��J License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License # <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilltl <br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Buiiding 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 & 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/ 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 /> . <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 $7500) <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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />