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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received . <br /> Phone Contact for Permittin — <br /> Owne�'s Name �� �- ��< Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O � 7 �� � LOT # � , <br /> SUBDIVISION ��G�f �� , PARCEL ID# ��' a' � �^ d �� + �C�d � �!� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � dt X 3� � QI'� �' <br /> BUILDING SIZE � 0 X�d SQ FOOTAGE y�G HEIGHT <br /> �BUILDING $ 3� ���� � VALUATION OF TOTAL CONSTRUCTION .� / ���� <br /> ( <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �\ ��'`� <br /> �PLUMBING $ 1 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P �� P ERMITSERVIC� <br /> (813) 788-5314 <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �� ��� <br /> � �� � � . � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> r <br /> � � D /.�.-- <br /> BUILDER ����„ - . / � �OMPANY ��/� �i� LGG!"�[ � �C. <br /> SIGNATURE ���-��� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �Q y� �O/`� l�( � Z— ,�' Lice�se #� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 /> 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, Constructlon 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 construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> if over $2500, a Notice of Commencement is required. (A/C upgrades over;7500) <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 Senrice Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />