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813-78U-UU2U City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec�ived � ��� _ � <br /> Phone Contact for Permittin � <br /> Owner's Name � � Owner Phone Number �� y� <br /> Owner's Address �. .� S� �wner Phone Number <br /> 33�ar�. sa�a <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS W "� �u � � � LOT # � <br /> SUBDIVISION , PARCEL ID# � � . � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � IGN��� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER I_ <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL [] <br /> DESCRIPTION OF WORK ��p,,,,�' tj - �1 (ZQ - {� (,f ��T t S�� �`, `-� . <br /> BUILDING SIZE SQ FOOTAGE c � S HEIGHT �—� <br /> BUILDING $� , •� VALUATION OF TOTAL CONSTRUCTION <br /> 0 <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANiCAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ,� ROOFING Q SPECIALTY � OTHER <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 CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/ N <br /> Address License # �_ — 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY VY�J'1 Qfii(1 �C � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� / N <br /> Address S� �� hi u �j�j� � 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 & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Buildi�g 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 & 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 constructlon. <br /> Directions: <br /> Fill out appiication completely <br /> Owner 8 Contractor sign back of application, notarized <br /> if over E2500, a Notice of Commencement is required. (A/C upgrades over a7500) <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 (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />