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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received � ,; � � _ �M <br /> Phone Contact for Permittln L}-( <br /> Owner's Name � Il� � A Owner Phone Number 3���^ �Q � <br /> Owner's Address S � P� 5'��CYI �0 � <br /> S� Owner Phone Number _�� ,°�. � �� � � � <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Ul�� ) 5 � Q • ��y LOT # � <br /> SUBDIVISION C� , PARCEL ID# V -� `���-{ ' •��XS7 G <br /> (OBTAINED PROAA PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR ��, <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK @ �Q �� `� .� � <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ r — VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � h � I` � <br /> OMECHANICAL $ VALUATI�N OF MECHANICAL INSTALLATION � <br /> QGAS � ROOFING [,] SPECIALTY C� 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY �, Y � � ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address _ � � `} � License # �� i � � <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 onslte, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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, ConstrucGon 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 /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> '*"PROPERTY SURVEY requlred for all NEW construction. <br /> )irections: <br /> Fill out application completely. <br /> Owne� & Contractor sign back of application, notarized <br /> if over;2500, a Notice of Commencement is required. (A!C upgradas over;7500) <br /> * Agent (for the contracto�) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (Front of Application Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />