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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparlment <br /> Date Received �� phone Contact for Permittin � <br /> - n -- � -- �- -- <br /> Owners Name �I C P r � � Owner Phone Number �\� �p <br /> Owner's Address Owner Phone Number � <br /> fee Simple Titleholder Name �— � Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS LOT # Q{p <br /> SUBDIVISION �\ C�� "� �. i�. (�� pARCEL ID# V ZC7 Z, �j�) j'`� ('� <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED rvEW corv57R ADD/ALT � SIGN Q � DEMOLISH <br /> INSTAIL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION 0 BLOCK 0 FRAME � STEEL � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT �� <br /> r r r - � r ' I ' ' t ' � ' ' r � ' ' � ' � ' ' r • <br /> �BUILDING S i VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.�, ��� �„( � <br /> �.1 <br /> �PLUMBING $ / „ �/J� �� � <br /> �`✓�` ,/ �[5 <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALlATION Y� � 2 <br /> �l <br /> ���/>S 0 ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FL OD ZONE AREA �YES NO <br /> BUILDER � �` COMPANY ����Q �j f� ��� <br /> SIGNATURE • REGIS7ERE0 Y/ N E CU RE� Y! N <br /> Address (j , � -- <br /> License # <br /> ELECTRICIA COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER � COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY —� <br /> SIGNATURE RECisreReo Y/ N FEE cuaaEn Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y( N <br /> Address License # �— � <br /> IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllll <br /> RESIDENTIAL Atlach (2) Plot Plans; (2) sets of Building Plans. (i) set of Energy Fortns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsrte, Construchon Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large pro�ects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page. (1) set of Energy Fortns R-O-W Permd for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence instailed, <br /> Sanitary FaGlities & 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 reqwred for all NEW construction <br /> Directions. <br /> Fill out application completely <br /> Owner 8 Contractor sign back of applicahon, notanzed <br /> If over 52500, a Notice of Commencement is required. (A1C upgredes over §7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone v�nth notanzed letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Applicalion Only) <br /> Reroofs it shmgles Sewers Service Upgrades AiC Fences (PIoVSurvey/FOOtage� <br /> Driveways-Not over Counter if on pubhc wadways needs ROW <br />