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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � __ phone Contact for Permittln — <br /> Owner's Name �5,:.,�1 �-i 1 J (n � U Owner Phone Number � "1 _I � � � � <br /> Owner's Address ��1 � � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c LI �(�6.t� �(�1 l� �- J�cy LOT #�� <br /> SUBDIVISION . PARCEL ID� I+• • o� G � V' 0� �• <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> B INSTALL B REPAIR � � _(�,� <br /> PROPOSED USE Q SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �' 1� C.�. �°l� � I '1' 1'Y <br /> BUILDING SIZE �— � SQ FOOTAGE '-( HEIGHT <br /> QBUILDING $ 1 _.�- VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � �.. �� � 2 �� <br /> �� J <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � 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 Llcense # �— —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Llcense # � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> OTHER � ��' COMPANY IL-U� �C I <br /> SIGNATURE REGISTERED Y/ N FEE CURR Y/ N <br /> Address � ��J� � 33 � License# �� �_���1 )�`, j <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set af Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) woricing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Worlc 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 & 1 dumpster. Site Work Permit for ail new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '"*"PROPERTY SURVEY required for all NEW construcUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over;2500, a Notice of Comr�epcament is.sequl[ed, (A/C upgrades over 57500) <br /> " Agent (for the conVactor) or Power of Attomey (for tFie owner) would be someone wlth notarized letter�from owner authorizing same ,. , <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ' �y��� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) r'4� �� <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />