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813-780-0020 City of Zephyrhills Permit Application ' �/ Fax-813-780-0021 <br /> Building Department � i �'(� <br /> � ���� � <br /> Date Rece"rved — -��s Phone Contact for Permitting �� __ <br /> Owner's Name ��--� � `�� \i\� � Owner Phone Number <br /> Owner's Address ���S L..Q}�S1 �c Owner Phone Nlumber � <br /> Fee Simple Titleholder Name Owner Phone Nlumber�— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ` `_j��S I 1� LOT# � <br /> SUBDIVISION �� `� C� PARCEL ID# <br /> (OBTAINED Ft�OM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR i, <br /> PROPOSED USE � SFR � COMM Q OTHER ! <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � OTHER <br /> DESCRIPTION OF WORK �� �� �L�=�F (�� .� � �� �"� �Zo ,t,la� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I <br /> � BU�LDING $ ��� . <br /> VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE � RROGRESS ENERGY � W.R.E.0 <br /> Q PLUMBING $ I ,�j Z,/'})�5 �"lg"� <br /> L"� V" i���� <br /> 0 � � _ �-�n1 ftAC� ����`' <br /> MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION ���U � � <br /> I �-- se� ��,�� <br /> � GAS � ROOFING � SPECIALTY 0 OTHER / � �/.y`f� <br /> ! r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO � <br /> -— - ...__.__,. <br /> ---- <br /> s <br /> BUILDER -' � COMPANY � \� <br /> SIGNATURE � �, REGISTERED Y/ N I FEE CURRENT Y/N <br /> Address �� �— <br /> License# <br /> ELECTRICIAN � COMPANY ,I <br /> SIGNATURE � REGISTERED Y/ N � FEE CURRENT ` Y/N <br /> Address Q � . � License# �� � �} � <br /> � <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 /> i <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 Plar�s,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 Fo I s.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plan�s,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. i <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$2500,a Notice ot 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter i�'on'public'��8dways..neects ROW <br /> �..,��.�-, . ,... .. ,.., , .. ... � <br /> � � <br /> � , ' r. <br /> � � , <br />