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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> _ Building Department --����� <br /> Date Received ��a�.��I <br /> Phone Contact for Permittin ,Z-1 2.�o _ O 7 0 � <br /> Owner's Name 1.o Q l O� �D�CPI L C�-1 N t(. Owner Phone Number <br /> Owner's Address ��� E'7 " �a-� Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � c � 3� M A 2 K-�T � <br /> LOT# <br /> 3UBDIVISION PARCEL IDl� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �'�,�J t S� p�L.�G�,J v L1 `o ("I"�— <br /> OMECHANICAI $ VALUATION OF MECHANICAL INSTALLATION ��}-� Q��" <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER ,����� /��C�i <br /> i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � COMPANY w A"�q"C� A�`I O L(q'f� <br /> SIGNATURE Aµ REGISTERED Y/ 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 �icense# <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)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 /> D(rections: <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 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 />