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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for P ittin — ' <br /> Owner's Name ! � S � i� ��_. m6�er� <br /> Owner's Address ._,7 � � � , I'1� �1' � ,�} ✓ 2 . Owner Phone Number —� <br /> Fee Stmple Titleholder Name � Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ('J � � ► � � I � W �� �� e . LOT # � <br /> SUBDIVISION � �-�'f+ARCEL ID# ���Q� �-f� �y�� ` DOVDO �� � <br /> ._. FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED � NEW CONSTR 8 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 �Q, � lN 1�l �O WS � 1't �Q Ce W I � h PI �tJ00G� S� �e�l' � <br /> BUILDING SIZE �--� SQ FOOTAGE � HEIGHT V in� S � �h� � <br /> BUILDING $�� �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERV�CE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> � � 2�' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION �� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER Q ��� ' COMPANY � a�� O W�1V W OV' K, <br /> SIGNATURE �� REGISTERED Y/ 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/ N FEE CURREP Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER � COMPANY <br /> 31GNATURE 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 Pertriit for new construction, <br /> Minimum ten (10) wo�icing days after submittal date. Required onsite, Construction Pians, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster; Site Woric Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Pians plus a Life Safety Page; (1) set of Energy FoRns. 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 instalied, <br /> Sanitary Facilities 8 1 dumpster. Site Work Perm(t for all new projects. Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> «« 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 required. (AIC 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 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 />