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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> .___---------- _. _ <br /> Date Received :�� � J Phone Cootact for Permittln � - <br /> , <br /> "�wner's Nam�� � L. � t Owner Phone umber (�� � - .J J� � <br /> _ �J <br /> Owner's Address S e,z., � ,[.. ��,� Owner Phone Number � ^� J I <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> ./` <br /> Fee Simple Titleholder Address - <br /> -d6B7tDDRESS � �3� � e S r LOT # � <br /> SUBDIVISION � /" �PARCEL IO# ...- �� � � � a-� f/��G 'G ��OG ' UG �U <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /�- . D B I' OSUR.E <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �UILDING � ��. � -` . ` <br /> �'� r �Q C VAL ON OF TOTAL CONSTRUG'FfON <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS EfVERGY � W.R.E.C. <br /> �Qp �� <br /> 0 1 � ,f1�- �Y i'u <br /> PLUMBING $ � � <br /> QMECHANICAL $ _� VALUATION OF MECHANICAL INSTALLATION n !� r <br /> ! ��! <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS LOOD ZONE AREA QYES NO <br /> �c o <br /> BUILDER , , � COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address ' �� License # � <br /> Y <br /> ^ <br /> ELECTRICIAN � � � ' COM NY <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 License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construcGon, <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 Permit for new construcGon. <br /> Minimum ten (10) working days afler 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 Altach (2) sets of Engineered Plans. <br /> ""*PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over S7S00) <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 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 />