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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 � �� � J -� D� <br /> Owners Name i� � n'� J �F--li Owner Phone Number � 3'� � <br /> /,, i <br /> Owners Address I V� { Q �� I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 • C� I I Y � LOT # � <br /> SUBDIVISION PARCEL ID# �- d�� I�D �UJ� OD <br /> (OBTAINED FROM PROPERTV TAX NOTCE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK .1 �j (� (7n C�Qnh� � �L� �� �' N sa8� r 5 Po� <br /> BUILDING SIZE SQ FOOTAGE �j , HEIGHT <br /> BUILDING $� f1 /v�1 VALUATION OF TOTAL CONSTRUCTION <br /> ,Vl.tJr <br /> [�LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R.E.0 <br /> � <br /> �MECHA CAL $ VALUATION OF MECHANICAL INSTALLATION � � �� � � <br /> �GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� - I COMPANY I � o U. �j 1 n �f � � E � �'� ()n �nL � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address .�. P Q �� �p� License# �J�.t/d��� <br /> b � <br /> � �. �" . : ` a��.-�o ` <br /> ELECTRICIAN COMPANY �I�II � ( • � �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address .�• �J�7 5 'Q yL r 33g�3 License # � r <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 /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days after submittal date Required onsite, Construdion 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 8 1 dumpster Site Work Permit for all new projects All commercial reqwremenls must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructwn <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. (AIC upgredes over E7500) <br /> " Agent (for lhe contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> bVER 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 />