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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rece(ved <br /> Phone Contact for Permittin _ <br /> �e�g N�e � � Y'` Owner Phone Number <br /> � �Owners Address / Q � ( Owner Phone Number <br /> Fee Simple Titleholder Name � � �a-/�� Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C1� �� I u(Z(Z (��e LOT# �� <br /> SUBDIVISION ��u'�'1��'� D�� S C`�� pARCEL ID# �\ - Z S Z(— (��(p ^���U ^.(�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN �] �] DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR [] COMM [—� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q r <br /> DESCRIPTION OF WORK —�-`y- � ��� � /�� ��'l"� �' C �° �S C°c�cCL F' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�EtECTRICAL $ , � _ AMP SERVICE /��) PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l � �2 / l� <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUIL�ER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY / � °�S� �'l4SS -�~(�C [ � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address C 1 � License# �C�Y.�Z��C�-1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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)worlcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster;Site Work PeRnit 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 consVucUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """'PROPERTY SURVEY required for all NEW construcUon. <br /> . n,-R„����������,.*��������....� <br /> Directions. '""' <br /> Fill out application completely. <br /> Owner&ConUactor sign back of appBcaGon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over sTS00) <br />*" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer 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 />