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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / / � _ ���' <br /> 8 �! ��` Phone Contact for Permittin <br /> Owner's Name � 1 Owner Phone Number - ]a(.� - g�} 4� <br /> Owner's Address ���� T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �O O �1-�lp, � (L.I�S 335�Z LOT # �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK =N��OQ. �U"�Y1�4t-LZl4Y, �F O� W�}{{„ '� �' � �����,�, <br /> BUILDING SIZE � Z�C 3 � � SQ FOOTAGE r S�2O HEIGHT � W��s <br /> �BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> $ 2 �� .c�o <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATiO <br /> ������' <br /> �GAS Q ROOFING / <br /> Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY t1f�� �t�(bZ'Ql�.�7�t�t� OF ��,qQ,�,n� � <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/ N <br /> Address 3t� 13 Nw S 1 335�}) License #�:��, � �'1 Z`j Z <br /> ELECTRICIAN � A COMPANY <br /> SIGNATURE 1'< 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 _ � t REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER � J� COMPANY <br /> SIGNATURE 'N 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) woricing days after submittal date. Required onsite, Co�struction 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 Safery 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 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 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 Upgredes A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />