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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivpd �O .� (�_`� <br /> Phone Contact for Permittin <br /> a <br /> Owner's Name �''�'-`-' � � � ' � ��� . <br /> � ��� j � Owner Phone Number �/ 3�7�°c ��7s� <br /> Owner's Address ✓�¢�� " � ���("/r'� �% � �'jL �% . p�y�e Phone Number c��3 � SZ�"r- <br /> Fee Slmpte Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '�� 3c " �' �S� �c'�' �jYJ��2f//115� �L 3 35 4% LOT # �� <br /> 3UBDNISION PARCEL ID# <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �] COMM � OTHER Ca�vc S��Z� t,� . <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DE3CRIPTION OF WORK ( O/U�.B,�Tt �.���f'L.� P�(.y� • � f IS � � a � � <br /> BUILDING SIZE � SQ FOOTAGE �� HEIGHT <br /> � BUILDING $ p 'D� -- VALUATION OF TOTAL CONSTRUCTION <br /> 7� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> QPLUMBING $ " r � I��� <br /> " �V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �_ • Ia ` ANY .L• �Ic�py� �G • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ���%.l�j� ��% y'�%5 ' � � ��� �. 3 � !� � License # CGL � Z� 7 S�C' <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 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 PeRnit 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 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 /> D(rections: <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 57500) <br /> "` Agent (for the contractor) or Pawer of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIN(i (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />