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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � �-�j'{f� � <br /> P'i ( 'zY ��. <br /> Date Received Phone Contact for Permitting �1� �C -- 5// <br /> Owner's Name C_ "�rvc-��o�1 Owner Phone Number l S� ��� - 5��/ <br /> Owner's Address S L/�( �� S 7�1,�� �i+ ;��J Owner Phone Number� <br /> Fee Simple Titleholder Name � •v� Owner Phone Number� <br /> Fee Simple Titleholder Address �i4�1�' i4 �� <br /> JOB ADDRESS L/ S�'� S!-��'�' � � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK yv E � � +S .� S �lE 1. F � R�vF F_v <br /> �! <br /> BUILDING SIZE SQ FOOTAGE S�� HEIGHT <br /> Q BUILDING $ / � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � Jv <br /> � PLUMBING �- <br /> I .,._ <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> pUu <br /> 0 GAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � �I FLOOD ZONE AREA �YES QNO <br /> � <br /> BUILDER � COMPANY R� Loh �t r� �� i� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRENT Y!N <br /> Address � L��l c7 f� 1t' ,�� �l �i,-�/ License# GG G <br /> ELECTRICIAN .____-.. - COMPANY -r'r T r �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# ��/�bb�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL � COMPANY � /J f � � ` ���� � ��� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ <br /> �' I__� � �G�3S�c�ense# � <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)complete sets of Building Plans 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 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: � � � t <br /> Fill out applic�tion completely. . � <br /> Owner&Contractor sign back of application,notarized ' <br /> If over$2500,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 /> Reroofs, Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> 0 <br />