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813-7$0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received Phone Contact for Permittin � O� — � <br /> �nrner's Name 1� Cz(`� �Tef�CPs � Owner Phone Number Ol � ' • � �JS � <br /> Tnrner's Address � � � Q.. � Owner Phone Number r <br /> =ee Simpie Titleholder Name Owner Phone Number <br /> °ee Simple Titleholder Address <br /> !OB ADDRESS � � � �GUL � �Q t V �'l� u S I � ��{ � LOT # � <br /> 3UBDIVISION PARCEL ID# a "2- � d(�-�' �� � '�1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED NEW CONS7R ADDlALT SIGN � Q DEMOLISH <br /> e INSTALL B REPAIR �(Z..Q k� c�o <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> rbPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �+ CJEF Ct. �- �PS <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ ^' VALUATION OF TOTAL CONSTRUCTION <br /> �q � : <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � 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 /> DTHER COMPANY �l. �Cf�� rl`' <br /> SIGNATURE REGISTERED Y/ N FEE CURR Y/ N <br /> Address �j � rh i US �. S� � License# ��. a����� <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 onsite, ConstrucGon Plans, Stormwater Plans w/ Silt Fence instatled, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach (3) complete sets of Buitding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new consWction. <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 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 constructlon. <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 aT500) <br /> " Agent (for the conVactor) 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 Service Upgrades A!C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />