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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received Phone Contact for Permittln � l 0 – g � <br /> ?vvner's Name � 0 , '� � � Y ��Z � �, � L Owner Phone Number � � b � � � <br /> hvner's Address 5 O t 'v� Owner Phone Number � <br /> =ee Simple Titleholder Name Owner Phone Number �— <br /> =ee Simple Titleholder Address <br /> lOB ADDRESS � O � v�. � L LOT # � <br /> 3UBDIVISION C�'�T � �,-� �p���� PARCEL ID# �" � `� f7 � `� I O a � �� Od <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � �; l � `" l>v� �.0 �-� '� <br /> BUILDING SIZE �---� SQ FOOTAGE 1��J HEIGHT <br /> �BUILDING $ t5 O �� � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ 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 /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER �1 C'� COMPANY C � ~ C, <br /> SIGNATURE �� REGISTERED Y/ FEE CURRE� Y/ N <br /> Address �",�` �, � ` � �f, L License # ^� � �� � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <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 FoRns; R-0-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 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 Facilitles & 1 dumpster. Site Vltork Permit for all new projects. All commercial requirements must meet compliance <br /> 31GN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW consUuction. <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. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone ' me <br /> DVER THE COUNTER PERMITTING (Front of Application Only) ,. T�� -� ��a <br /> �eroofs if shingles Sewers Service Upgrades A!C Fences (PIoUSurv�y� �'�� � <br /> � sros ,rt�� an�,a .,�,o�,� • . <br /> Driveways-Not over Counter if on public roadways..needs ROW � st►S�� 0� r�� <br /> � '�'rtl�M rMiM 111111r <br />