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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received p e Contact for Perm ( 3 �S _ 7 p �� <br /> er's N � �`c \ � Owner Phone Number <br /> ,6v��er's_Adcjcdss � S� �'� �"` Owner Phone Number �— � <br /> i <br /> Fee Simple Tltieholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � O�ADDRES � � S� M ' S � � LOT # � <br /> SUBDIVISION � , P�IRCEL ID# ��/ ro� � �4U1 (7 - >S 6 a(p —(J/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK ` �r F �j � � �a,,, F� � �� �d ( (F�-� /�-�'�.� <br /> BUILDING SIZE SQ FOOTAGE �3DO HEIGHT �/ /Gti ��v �" � <br /> BUILDING $ � , \ y � �� <br /> � �� __,.,�Fk�UATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���Q D � <br /> _ � ; <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ���'°"� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER \ COMPANY ` <br /> SIGNATURE '�' REGISTERED / eE CuRR 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <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 $ 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Forms. R-O-W Permft for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Pians, 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 /> 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;2500, a Notice of Commencement Is required. (A/C upgrades over 57500) <br /> �" Agent {fo� 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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />