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813-780-0020 City of Zephyrhills Permit Application ;�,� Fax-813-780-0021 <br /> ' � Building Department ,� <br /> w� <br /> )ate Received i / <br /> �� � �` �/ Phone Contact for Permittln _ <br /> hvner's Name ���^�� j� � ��' Owner Phone Number d�3 " �� <br /> Tivner's Address �D � / 7 � /2 <br /> Owner Phone Number <br /> °ee Simple Titleholder Name Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> lOB ADDRESSjO !J3 � �' � � LOT # C� <br /> ( <br /> iUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> �IVORK PROPOSED NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM �� OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �� � �/��`J � � ��•� �fjj av � /' <br /> C�! <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ bb VALUATION OF TOTAL CONSTRUCTION <br /> ..�- <br /> [�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �,( <br /> =1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 3UILDER COMPANY b�� �Gt�j��� <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> 'LUMBER COMPANY <br /> YGNATURE REGISTERED Y/ N FEE CURREP Y/ N <br /> Address Ucense # �— <br /> IECHANICAL COMPANY <br /> IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> THER COMPANY <br /> IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess License # <br /> ESIDENTIAL 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 Faatitles & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> )MMERCIAL Attach (3) complete sets of Building Pians plus a Life Safety Page; (1) set of Energy FoRns. R-O-W Permit for new construcUon. <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 Vllork Permit for all new projects. All commerciai requirements must meet compliance <br /> GN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consUuction. <br /> rections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is 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 /> 'ER THE COUNTER PERMITTING (Front of Application Only) <br /> roofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />