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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permittin -- <br /> Owner's Name Owner Phone Number � �� 2 <br /> Owner's Address l�1'� � �_ Owner Phone Number � <br /> Fee Simple Titleholder Name °.SQ'f`f�L°� Owner Phone Number � <br /> Fee Slmple Titleholder Addresa .�(,�m� <br /> JOB ADDRESS LOT# �[.d.1{.LL_J <br /> SUBDIVISION � ��,(�,� ,�- �"' PARCEL ID# - � - - - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTRy� ADD/A � SIGN Q Q DEMOLISH <br /> INSTALL �Q REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK U �,Fi' '� e ��� �CL <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ . — VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � � OD AMP SERVICE • � ROGRESS ENERGY Q W.R.E.C. <br /> 125�,'1� <br /> OPLUMBING $ �� <br /> �MECHANICAL $ �- VALUATION OF MECHANICAL INSTALLATION <br /> QGAS 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 /> X ELECTRICIAN ! < " COMPANY 7� D L� Q 1�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> MECHANICAL COMPANY �— <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � --� <br /> OTHER � COMPANY <br /> 31GNATURE 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 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)comptete 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 consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Not(ce of Commencement is required. (A/C upgrades over;7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized�etter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />