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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r .� �- �� phone Contact for Permittin �� �' ��j'�Z <br /> Owner's Name Owner Phone Number ��� d ���� <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J'�J�� SCU%��-�� �`�,�i!�� � LOT# �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE} <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK p/�-��� D � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ � . � AMP SERVICE /5D �' PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY -� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# �C�/�jll��Q��J � <br /> ELECTRICIAN COMPANY �4'LD <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �� License# � d <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 /> Add�ess License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <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 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 Permlt 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 Pertnit 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 /> Filf out application completely. <br /> Owner 8 Contractor slgn back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer 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..n��ds ROW <br />