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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depa�tment <br /> Date Recelved <br /> Phone Contact for Permittin �/,3 78Z— ��/,� <br /> Owner's Name �� , , �.'n/C p L�/ Owner Phone Number 7 2 — �Z�� <br /> Owner's Address �� Z cs � /a �/NJ /� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �5�4/Y/ j� LOT# C� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL O <br /> DESCRIPTION OF WORK �j/C (Jjf/�j T <br /> BUILDING SIZE � gQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ AMP SERVICE � PROGRESS ENERG <br /> �`� � W:f2.E.C. <br /> OPLUMBING $ � <br /> O y� <br /> �MECHANICAL $ j/ O�acJ VALUATION OF MECHANICAL INSTALLATION � � �� , <br /> / \ ��� 5'j� <br /> OGAS Q ROOFING Q SPECIALTY U OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL /�'/' ��` COMPANY 1Q /L .� /�iQc ,/�,£ ��1,� <br /> SIGNATURE 'L---- e/� G <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ���o y,�y y� <br /> OTHER COMPANY <br /> SIGNATURE <br /> 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)working days after submittal date. Requfred onsite,Construction 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 L1fe 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 8 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 /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice 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 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 o�public roadways..needs ROW <br />