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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin _ <br /> Owners Name L.1✓t �j �r L��t"`� <br /> Owner Phone Number <br /> Owner's Address ���7 y �� �/ '�'� Owner Phone Number <br /> Fee Simple Titleholder Name � —� pwner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS �� ` � �! �� 72 iv�� ��f {►�I 3 �S� '}LOT# C� <br /> SUBDIVISION PARCEL ID# f I�2 �—Z�—v�/n —�"7 7 U v `��02 U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � v"�lG �7 C.c.J �j'— �l�-�- � � � ` h P <br /> BUILDING SIZE � SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ �G(� UJ VALUATION OF TOTAL CONSTRUCTION <br /> 0 ` <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> � �Z� 7� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � 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# <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 J N <br /> Address License# � <br /> OTHER t,�/Il---- COMPANY G� ���Y��t�"�" 1''o � ��=� ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address c�� J k � ( o � �°J � � 73S License# �� C.0,�7 j ,� 7 � <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,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&1 dumpster;Site Work Permit for subdivisionsflarge 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 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 requfred for all NEW consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement fs required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)uvould 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(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />