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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . <br /> Date Received —l� —ap!� Phone Contact for Permittin �(� � Q� _ �~'y / <br /> Owner's Name �/C � �L �J W t t��✓ � Owner Phone Number � !����,.5 <br /> Owner's Address ���� 7��� �! � {„ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br />� J�ADDRE�,� �/�y 9 � T � ��,,��.s'' LOT# � <br />�..—�--.,--� <br /> SUBDIVISION , PARCEL ID# — ' � —U �D—D�DOD �" OO/Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C, STEEL Q <br /> DESCRIPTION OF WORK CLC� �i�Il/i°U eiye�/.t ` p� �'� �, �� ��S /� <br /> BUILDING SIZE �--� SQ FOOTAGE HEIGHT <br /> QBUILDING $ <br /> .y�� • (aQ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENE GY�" � W.R.E.C. <br /> QP�UMBING $ ,� <br /> ��� � i <br /> �p�IECHANICAL � / <br /> $ VALUATION OF MECHANICAL INSTALLATIO <br /> QGAS Q ROOFING Q SPECIALTY � OTHER _._. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BWLDER � / COMPANY �` r �� <br /> SIGNATURE � % REGISTERED Y/ FEE CU E� Y/ <br /> Address D License# C � <br /> ELECTRICIAN �p��L� <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 <br /> 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 Ltcense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding 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 /> Sa�itary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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/Silk Fence installed, <br /> Sanitary Facilides 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 /> Owne�8�Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over t7500) <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 kJpgrades A/C Fences(Plot[Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />