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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �l 3 ���`i ^ �� Z <br /> ` � Phone Contact for Permittin <br /> Owner's Name �L�'��Y d�L� ��/p�h� 4 L✓� f Owner Phone Number <br /> Owner's Address �v ,�� �✓/ £ � j� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �v (� �� L,// ,L � � LOT # � <br /> SUBDIVISION PARCEL ID# �� '�� -.�/- Oo/U -U �50U - C> O G O <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> / r ,(� /- ` <br /> DESCRIPTION OF WORK !v l' I�� I �/✓ C� "" � 9 <br /> BUILDING SIZE � SQ FOOTAGE / HEIGHT �( <br /> �UILDING $��.� � U G, VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBWG $ �J�1�`��� �� � <br /> r �. <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �' 0 7• D � � �/ �I y� <br /> , C�r � %s 1�' '< < -/ <br /> �GAS � ROOFING Q SPECIALTY � OTHER � ��u� ��'' �, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO . U��i./�/�� <br /> l.l' <br /> BUILDER � COMPANY ��7 -�C� ��/✓ '��e � //✓C' <br /> SIGNATURE �`L REGISTERED Y N FEE CURRE� Y N <br /> Address �Z s� tr'< <// S" �� ���/ s License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ 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 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 construcGon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8� 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 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 />