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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received l� Phone Contact for Permittln �7 s� _ Sd / Y <br /> Owner's Name Owner Phone Number <br /> Owner's Address J� lJ 3 Owner Phone Number �— <br /> Fee Simple Tltlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` LOT # C� <br /> SUBDIVISION PARCEL ID# �v ' ��� " �� � d 6 a� ` � ���� �S�C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �] STEEL Q <br /> DESCRIPTION OF WORK //,�L�'GC, � I �� <br /> BUILDING SI2E SQ FOOTAGEC� HEIGHT <br /> UILDING � a J` � VALUATION OF TOTAL CONSTRUCTION <br /> // <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �` / 2�( <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � COMPANY �(<C–L/, �--L C <br /> SIGNATURE REGISTERED FEE CURRE� Y/ N <br /> Address � (_. License # C� L � J � 3 U a"�r <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 8� 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 construc6on. <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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor slgn back of application, notarized <br /> If over $2500, a Notice of COiiSrri�ncement is requlred. (AJC upgrades over a7500) ,_ <br /> *" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter ftom 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 />