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8?3-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmenl <br /> Date Received phone Contact for Permittln - <br /> Owner's Name (J �•^�O 2 o Owner Phone Number �l —/�J� '�-��� <br /> Owner's Address (l f Z � V£. ��1 � Owner Phone Number � <br /> Fee Simple Tltleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # L� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION _-- _ <br /> QELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> ���-�� <br /> QPLUMBING $ <br /> l�MECHANICAL $���� VALUATION OF MECHANICAL INSTALLA N _ <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER /� �/ �T ��`� <br /> C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �-NO-- <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # r <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Llcense # � <br /> MECHANICAL � COMPANY ��r/�Z f O �v G,d� � <br /> SIGNATURE REGISTERED Y/ N FEE RRE� Y/ N <br /> Address `��t/ � Z� c� �-�,$ Llcense# C G, � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Llcense # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Pians, Stormwater Plans wl 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 consUucGon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construcdon Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facflitfes & 1 dumpster. Site Work Permit for all new projects. All commerdal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> `"**PROPERTY SURVEY requlred for all NEW construcUon. <br /> T����������r��������i <br /> .+.�u���.u� �.,.� i au.0 i= � r <br /> D�recLons. <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If ove� s2500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> '* Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applica8on Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />