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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department i C � <br /> 0� <br /> Date Received !� r r�-+ � Phone Contact for Permittln o� �,3 -��F ��� <br /> Owner's Name ��'� Owner Phone Number $�� '� 7�- 3 fi 3 y <br /> Owner's Address ���� _ Owner Phone Number � <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�.2 ru �-� LOT # C� <br /> SUBDIVISION , PARCEL ID# (�o� -��° '� I' Oa'7o �' C�daop - b C� 7U <br /> (OBTAINED FROAit PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER (��/I,c <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEI Q <br /> DESCRIPTION OF WORK �-b��fL � ��' 1'�� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> BUILDING $ �/. I r� S <br /> ��� 6v0 VALUATION OF TOTAL CONSTRUCTION r i- �� <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ / �� f `� ' <br /> i /""v ' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> (/� � ,1 <br /> OGAS Q ROOFING Q SPECIALTY [� OTHER �(A� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �'�j li � <br /> \'J <br /> BUILDER n � � �� .�y� <br /> � �,�� , ���� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address / ��l �1 t� C��'" n - �. �' , -tSL License # �G C� _� /� 6 6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �- - 1 <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # -� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buflding Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days aRer submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Sflt Fence installed, <br /> Sanitary Facillties � 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, 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 construction. <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 �equlred. (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 PERMITTING (Front of Applicadon 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 />