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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received Phone Contact for Permittin �-�-��� <br /> Owner's Name �`(� 1 1 1� � Owner Phone Number al �' ��' l.k � / <br /> Owner's Address �(1 (O �� 2. • 1 C� �� Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l.�lSl �l � O c • • fZ J� � LOT # � <br /> SUBDIVISION w , PARCELID# O • •Ud�b• • (O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT _ SIGN � Q DEMOLISH <br /> INSTALL 8 REPAIR (� Q�, <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION �, BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK (�BC {C� (�pp Q t�t,S i.r� �� ��; � <br /> BUILDING SIZE SQ FOOTAGE�] HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ i� <br /> MECHANICAL �`" � � � <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION I <br /> QGAS � ROOFING Q SPECIALTY Q 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 CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER �. �'� COMPANY � I rr� i � f� �� . <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � �� � License # �� ( • , � � J� � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; 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 8 1 dumpster; Site Work PeRnit for subdivisions/la�ge 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 consUuction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 8 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 requlred for all NEW construcUon. <br /> aia� � � � r nr�7TTi Pi f T7 � Pt � � � � � r� � � � <br /> Directions. " � � <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is requlred. (A/C upgrades ove� 57500) <br /> "' Agent (fo� the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />