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873-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> " ' ' Building Department <br /> Date Received lp2 �` � Phone Contact for Permittl� _ <br /> Owner's Name � Owner P uaober ��— <br /> Owner's Address (O Owner Phone Number — ,5` <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> J08 ADDRESS 1l lp � � LOT # � <br /> SUBDIVISION (,�„/ EL D# 0 °�to �f "" O Q"G� 0��--a ��(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> l� �� b <br /> BUILDING SIZE �— � SQ FOOTAGE � HEIGHT <br /> BUILDING $ /]O .� VALUATION OF TOTAL CONSTRUCTION <br /> c� d' <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � 2 � �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALIATION � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � � <br /> G � COMPANY �,Q/�/ <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 I 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/ N FEE CURRE� Y/ N <br /> Address License # <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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 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, Construction Plans, Stortnwater 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 /> ����ir��r���r�i����� <br /> Ia.VW1�ii417111i.IJJ11{L ILJ.L1Lt <br /> Directions. <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, 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 with notarized letter from owner authorizing same <br /> OVER THE COUNTER P�RMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Servlce Upgrades AIC Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />