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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i . <br /> Building Department <br /> Date Received Phone Contact for Permittin ��� � i� _ a 96 <br /> Owner's Name .� /�/ Owner Phone Number �) '� 7^ jf� � <br /> Owner's Address ����� /t l,�C �� � pwner Phone Number � <br /> Fee Simple Titleholder Name ,��Gr Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .7 ��� ' %" // � C /� LOT # � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK i�7?/7 �/�/�G-� �'�?G� � 1� /'(� /.F % . <br /> BUILDING SIZE .�� � SQ FOOTAGE � � HEIGHT C_ <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ �� v' AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> ��� <br /> OPLUMBING $ �� � � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q 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 `�(/E=S Cl�n� L2 r' �� �L �[ <br /> SIGNATURE REGISTERED / FEE CURRE� <br /> Address ,�o �7� //���l�sv t . � � � License # � i��� �3y � <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 CURRE� 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 & 1 dumpster; Site Work Permit for subdivisionsflarge 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 & 7 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 /> 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 s7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />