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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name ( �=� ��vl Owner Phone Number 7� - _2,q� <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS G �3 °'� �. �..-.. � U� � �- �- LOT # �� <br /> SUBDIVISION PARCEL ID# 03 '� - I - C�C� - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN � MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK R �.. �e 1o�ce h I Zr� a� S2J ✓IC a �� �e�G✓S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE �,�� � PROGRESS ENERGY Q W.R.E.C. <br /> ��,25�, �� <br /> Q PLUMBING � �I� �"�' �$ � � <br /> ���� <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> Q GAS 0 ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN �,A �rt COMPANY 2��j2 �(�G�/1 c�,� ��� � <br /> SIGNATURE �� ��-------� REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � 7- L 3 S 3 License # C'C �3ooi 3 S 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) 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 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 & Contractor sign back of application, notarized <br /> If over E2500, a Notice of Commencement is required. (A/C upgrades over �5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroots Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />