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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> ^ Building Department <br /> Date Received - � - phone Contact for Permitting -- <br /> r T-r r r-r ��- - - - <br /> Owner's Name � � l D� �� C-� ' I ���— Owner Phone Number � �J —�C7 �-` � J <br /> Owner's Address �� l � ✓ �1�� V� y" Owner Phone Number a �+� / �-6 9 gl <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 ��1 I S/�) � � �� L/� zITI L�S LOT# � <br /> SUBDIVISION PARCEL ID# —�v "���'�d Q�D —� VC'��"DDD ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> �y i <br /> DESCRIPTION OF WORK � x , V P�Z-'� �PrV <br /> BUILDING SIZE �� X �C�r SQ FOOTAGE � ��� HEIGHT f� ' <br /> ``�r BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ d/ /i AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> /. rT <br /> �PLUMBING $ � � �� /� <br /> � � � <br /> �MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> . . �__._, . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 /> SIGNATURE ' d��'�'N�` R OMPTERE� ��Nd/��E�� �NC/N <br /> Address License# � � <br /> IIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111 <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 /> . �_. . . . <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />