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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved _ / l / <br /> Phone Contact for Permltting _ <br /> Owner's Name ��? I� S� l�er�. Owner Phone Number �,3 $� �j �Q <br /> Owner's Address g6 ��� � Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3g6a� � � LOT # �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK � � � � J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> BUILDING $ � �� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE C� PROGRESS EN�RGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ��� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA ON <br /> QGAS � ROOFING Q SPECIALTY <br /> [-� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address , <br /> 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 <br /> License # <br /> OTHER y! _ �� COMPANY w(�1 N C� �p �� (N <br /> SIGNATURE 'X� REGISTERED Y/ N FEE CURRE� / N <br /> Address �.�� `Q � C License# C �.-�S� ��.- <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 PeRnit 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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'*PROPERTY SURVEY requlred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement (s requlred. (A/C upgrades over;7500j <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 (Plot/Survey/Footage) <br /> Driveways-Not over Counter it on public roadways..needs ROW <br />