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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Departrnent <br /> Date Received — Phone Contact for Permittin — Q( � <br /> Owners Name � , Owner Phone Number <br /> Owner's Address `t�g-Ptfl• . 335�-►I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS ` 3 -F �'�►:1'N'l ����I LOT# � <br /> SUBDIVtSION �` �' �1 �L'L�'�`�C�� PARCEL ID# �3�tp , c�.� • GI l�(�• t�,��C�• U�`—f (�) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT . Q SIG�N^ Q �] DEMOLISH <br /> INSTALL 8 REPAIR (�_���Cr <br /> PROPOSED USE Q SFR Q COMM � OTHER�� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �,5 ^� P � 'Q�i <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ��` <br /> �BUILDING $ !1� _ VALUATION OF TOTAL CONSTRUCTION <br /> � I <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� `� v <br /> E,�; � ' �J <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALIATiON � <br /> OGAS � ROOFING Q SPECIALTY Q 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. 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 i _ ���L�� COMPANY ! �_ - <br /> SIGNATURE REGISTERED Y/ N FEE E� Y/N <br /> Address �.., 3 Lfcense# �t•� ?30� � J�� <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,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster;Site Woric Pem►it 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 Pertnit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Requlred 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 constructlon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AlC upgrades over 57500) <br /> "" Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />