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813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 <br /> Building Department <br /> Date Received phone ContactforPertnittin <br /> TI - rftT -- <br /> Owners Name � [ T Owner Phone Number v l�' `' /� <br /> Owners Address `{ /` Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1 01 � l �� � LOT # � <br /> SUBDIVISION PARCEL ID# �� ��' ���OD l� - a o 3 00 -�� S C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e N TALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SI2E SQ FOOTAGE � HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION _ __ _\ <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY W.R.E.C. � <br /> QPLUMBING $ / h 'y � <br /> v( � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Address License # <br /> MECHANICAL /r - � /ff/J COMPANY �A' ��6� C� �-K S C <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 /> II11111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date Required onsite, Construction Plans, Stonnwater 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 construdion. <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. Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> -_-_-_-_-_-_-_-_-_-_-_- - - - L. <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notanzed <br /> If over 52500, a Notice of Commencement is required. (AIC upgrades over E7500) <br /> '• Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner aulhorizing 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 />