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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date �teceived phone Contact for Permittln — <br /> Owner's Name L.. Owner Phone Number � 1 �' `�� /� /! � <br /> Owner's Address ��`(�4JJ{,,,�c�1� � - �� - � � � �J er Phone Number <br /> �. . . <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 l� � � ��� y� LOT # � <br /> SUBDIVISION �— . PARCEL ID# O�J• (Q'c�- �° �U� b•���0� •�Ja � <br /> (OBTAINED FROIA PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT 0 SIGN �] DEMOLISH <br /> B INSTALL 8 REPAIR �� 2,� <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK QCT�rC1�'� - ` T � �P `' <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> QBUILDING $ I �j� �-- VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � / � fQ& <br /> VV <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY Q OTHER <br /> � � �`� <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 License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY �y�YY�11 t ---�'Y�C • <br /> SIGNATURE REGISTERED Y/ N FEE URRE Y/ N <br /> Address y• 1�- J�.ri License# �_ �� p����J <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit fo� 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 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 consUuction. <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 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 construcUon. <br /> Di�ections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over iZ500, a Notice of Commencement ls 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 /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />