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813-780-OfJ20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � -- l __ <br /> Phone Contact for Permitting <br /> Owner's Name � � '�., Lylll}P-�l�l� �;� `�" --_�1..� (� Owner Phone Number � 1 � ' ��`�.) � 7 � �� <br /> Owner's Address ls'� 1'T� S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ' U � I "'Y �" � - LOT # � '' <br /> SUBDIVISION PARCEL ID#� � <br /> (OBTAINE� FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT 0 SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL � OTHER <br /> DESCRIPTION OF WORK C � `Q- V;,�. , V �� I3�1�'1`T' �I �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> 0 BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL �$ AMP SERVICE 0 PROGRESS ENERGY � Q W.R.E.0 <br /> � � <br /> �� � <br /> \, <br /> � PLUMBING $ � � `�� � j <br /> � <br /> � MECHANICAL $ � i, / � � VALUATION OF MECHANICAL INSTAI I � <br /> � � <br /> 0 GAS � ROOFING 0 SPECIALTY � OTHER I�Z�- I I � ' <br /> FINISHED FLOOR EIEVATIONS � FLOOD ZONE AREA �YES �NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY r <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address License # <br /> MECHANICAL / q, � ` � � COMPANY -x;d) !(J� LU � Y� IJ �� � � f <br /> SIGNATURE ` (f �"L�'` �� i3'�� REGISTERED Y/ N FEE Cl1RRENT Y I <br /> Address �f � � �Tb� I Lice�se # �/"(C�� �/��J <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT 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 /> M�nimum ten (1D) 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 subdivisionsllarge 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 & 1 dumpster. Site Work Permit for all new projects. All commercial requiremenis 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 & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />