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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec�ived Phone Contact for Permittin - <br /> Owner's Name r� C, �X� Owner Phone Number ��`/Q�.�� <br /> Owners Address 3�a i �S . � f��r�, Owner Phone Number � <br /> Fee Simpie Titleholder Name Owner Phone Number � —1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1�� � � i �l�C`? LOT# �� <br /> SUBDIVISION ����� ��� � PARCEL ID# � �t0-" ��"���--��- a�ao <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e �NSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �Q QCe- (^C'C�C��" `,I //Z <br /> BUILDING SIZE SQ FOOTAGE I JC�C� HEIGHT <br /> �BUILDING $ �G��, VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER \� t n COMPANY ►� IV� W��Q.-� <br /> SIGNATURE Y`�-���`� ��k.'� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 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,Constructlon 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 constructlon. <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: <br /> Fill out application completely <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Comme�cament is required. (A!C upgrades over;7500) <br /> '" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized leKer from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (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 />