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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name ��U��SC-('�� �(/� �- ��-(J5 C Owner Phone Number <br /> Owner's Address Owne�Phone Number � <br /> Fee Simpie Titleholder Name —� Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ��� r" ��� � f� �� LOT# �� <br /> SUBDIVISION PARCEL ID# ���� � Z�� � � �O6S�X? • l�4i►7 <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 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK '��'�� ��'—�O f�°'y tl�' � rG s <br /> BUILDING SIZE �--� gQ FOOTAGE C] HEIGHT' _] <br /> �]BUILDING $ ,��/J U �- VALUATION OF TOTAL CONSTRUCTION�_.--- --- <br /> ELECTRICAL $ AMP SERVICE � <br /> � PROGRESS ENE, Q W.R.E.C. <br /> .i <br /> OPLUMBING $ <br /> OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN � �/ COMPANY ���E G � `�� - C�" ��, �i`� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� �f o ( Tl f—c� <br /> license# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address Lfcense# � —� <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster;Site Work Permit for subdivisionsAarge prajects <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 /> TT 11111�7�IIIIIIIIfIlIIf11 <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 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 Applicatlon 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 />