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813-780-0020 City of Zephyrhills Permit App ;cation Fax-813-780-0021 <br /> Building Department <br /> Da�te Received <br /> Phone Contact for Permittin -- <br /> Owner's Name ��� �- Owner Phone Number J� 3 ',� 3 � 7 C f g <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titlehoider Name � Owner Phone Number � <br /> Fee Simple Titleholder Addre,�s-- -" Z R, �Drrv �-� °�/ '✓'✓ d/�� 4 �-�Z 3� <br /> JOB ADDRESS ` rr �� I �Z 3 ��t � t V � G'' � �" �/Z/�'� /�l. � LOT # � <br /> SUBDIVISION PARCEL IO# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR �- COMM � OTHER <br /> TYPE OF CONSTRUCTION �_ BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��G� S I�l�� �✓ � �,�L1��f - 7`(/y.i� ]-'� dv � U,7�- <br /> BUILDING SIZE �— SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ ��7� AMP SERVICE �-- PROGRESS ENERGY Q W.R.E.C. <br /> (J <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL tNSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <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 �G 6�f''� T�� PLIt �6,/ L. <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address �?��� ��� d C License # �-��1 � 2 ZZ S � <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 I N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buflding 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 subdivisionsAarge 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 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 /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (AIC 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 5ervice Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />