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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received -'l, ��,� g 5��3 7�j-'� __ s{�� <br /> Phone Contact for Permittin <br /> Owner's Name � C �� ! �!� w��9�1L� �� Owner Phone Number �r�"L��"� �'�� <br /> awner's Address � ! d�( ��"`� U�, Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ` �� � v�' LOT# � <br /> SUBDIVISION PARCEL ID# � '��'vZ —�`�'�"�����—� <br /> (08TAINED FROM PROPERTY TAX NOTICE) .�� �Q / <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN � [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK � � � ( 2 <br /> BUILDING SIZE � � r � SQ FOOTAGE� HEIGHT ] <br /> �BUILDING $ 1� G/�r '�„ VALUATION OF TOTAL CONSTRUCTION <br /> f 0 <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ � ����� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � m�F ���� �.r,.� <br /> � 3 7_ d"1- <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE 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. 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 57500) <br /> ** Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaHon 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 />