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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 Permittln ✓�� �� [_ �� <br /> Owner's Name ! �GL V 1 Y(1 Owner Phone Number l "�[�"" ��/ <br /> Owner's Address 1�U 1 vvl ) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS i'U � PL LOT # �� <br /> SUBDIVISION � �. � PARCEL ID# ��' " f "Q' D CJD D:JV� <br /> (OBTAINED FROM PROPERTY TAX NO110E) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � 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 /> DESCRIPTION OF WORK p 5 � -- 1 <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> / Z ��' <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( <br /> 3 � a - �� <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 ' 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 /> Add�ess License # <br /> / /� <br /> MECHANICAL COMPANY (S (..� ��, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Address '� �p` �.1 � I -' � C. License # Q 5�� �� <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 fo� 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 PeRnit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> " SURVEY required for all NEW construction. <br /> � <br /> ����1Tm �� � �� i�9r������ ��7�� <br /> IJlI I11J.Lt I 1 1{ I J.LLL{ <br /> Directions. <br /> Fill out appiication 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 awner) 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 />