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813-780-0020 City of Zephyrhills Permit Application � Fax-813-780-0021 <br /> Building Department - '�17i� VZ <br /> Date Received ' <br /> Phone Contact for Permittin `,� f.� �J ��� _`� 4 � l� <br /> Owner's Name �/l�t��'2 �t..� L D� �;,� �` !�Z��k� t� pvvner Phone Number <br /> Owner's Address -��� 3 -� �� `� /• Owner Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J�r / j -� / 5 T ,� �� �� <br /> LOT # <br /> . ', � <br /> SUBDIVi310N 1�� �`''t-�' `J1 � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �iti��--++�� ^--��`""�.�� �"'`'�`'f'�'�� za � 31 <br /> BUILDING SiZE SQ FOOTAGE �� HEIGHT �� <br /> BUILDING ; ' <br /> ;,� c.. y,, ,,' . VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION S� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> ! <br /> BUILDER , �` �/ ' j COMPANY <br /> SiGNATURE REGISTERED / N 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 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 Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) woricing days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facliities & 1 dumpster; Site Work Permit for subdivlsionsRarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Pians 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 �'lans w/ Silt Fence installed, <br /> Sanitary FaciliUes 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 & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner a�thorizing 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 />