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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �ate Received �'� �� phone Contact for Permittin 0 � — <br /> �wner's Name 2 �' C� Owner Phone Number p l�'� i t -'� 335 <br /> )wner's Address Owner Phone Number <br /> 'ee Simple Titleholder Name � Owner Phone Number � <br /> 'ee Simple Titleholder Address <br /> 108 ADDRESS � � LOT # �� <br /> iUBDIVISION , PARCEL ID# ��• o1�.e� � �' d�� U' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IYORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR �y-pp� <br /> �ROPOSED USE SFR Q COMM 0 OTHER <br /> �l(PE OF CON3TRUCTION BLOCK Q FRAME 0 STEEL Q <br /> n / <br /> DESCRIPTION OF WORK � �V � C � �./ � � <br /> �--� 1 S ` HEIGHT � `� � t ' `�.�' � S <br /> BUILDING SIZE SQ FOOTAGE <br /> �BUILDING $ � ._ VALUATION OF TOTAL CONSTRUCTION Vl C ���� <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ f�� ��� � <br /> /( �. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS [� ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUiLDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # � <br /> ELECTRICIAN � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> 51GNATURE � REGISTERED Y! N FEE CURRE� Y/ N <br /> ddress License # <br /> OTH �� � �� COMPANY �l� � �.l��` ' n � � <br /> 51GNAT ��� REGISTERED Y/ N FEE CURRE� Y J N <br /> Address � � r h � � License # U—+.. � 3 0� � � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcdon, <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 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 ail new projects. All commercial requirements must meet compliance <br /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> ""*"PROPERTY SURVEY required far all NEW constructio�. <br /> Directions: <br /> Fill out application compietely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />