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813-780-0020 <br />Datey <br />....... ............................... <br />Owner's Address l s23_� <br />Fee Simple Titleholder Name <br />Fee Simple Titleholder Address <br />JOB ADDRESS <br />SUBDIVISION <br />WORK PROPOSED <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br />DESCRIPTION OF WORK <br />City of Zephyrhills Permit Application <br />Building Department <br />...... ....... ........... .■ ■......... .............I......� <br />-- Owner <br />Owner Phone Number <br />Owner Phone Number <br />Fax - 813 - 780 -0021 <br />W"002-0 <br />-3 /� ��l S , ¢Ile"I 1C Yl —� LOT <br />PARCEL ID# <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR ADD /ALT <br />INSTALL REPAIR <br />SFR Q COMM <br />BLOCK G Q/ / FRAME <br />i <br />M <br />SIGN = = DEMOLISH <br />OTHER <br />STEEL = <br />BUILDING • FOOTAGE ® HEIGHT �— <br />=BUILDING <br />VALUATION r =13:q:1 OF • TAL CONSTRUCTION <br />=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br />=PLUMBING $ <br />=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />E <br />=GAS = ROOFING = SPECIALTY OTHER <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br />11 fi <br />BUILDER COMPANY i75� v► S- ACn?CT�'I �f <br />SIGNATURES REGISTERED Y/ N FEE CURREN Y / N <br />Address .i /SU X/4'-'d LILT License# 3 01 <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN <br />Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN <br />Address L License # <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN <br />Address License # <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURREN 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 & 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 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 />Directions: <br />Fill out application completely. <br />Owner & 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 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 />