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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> « <br /> Date Received Phone Contact for Permittin _ <br /> Owner's Name ��f!� r.OL-��„' � Owner Phone Number <br /> Owner's Address 3� ��tli/f/•w�% pir/, Y� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION —� PARCEL ID# ��3 �.. � /Z D 0 f}41 D a �9 Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR� ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � �" �CQ(/'C,� O (� (�(/ 3� � �j�,?�-`/�S' <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> QBUILDING $ so r. VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <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 /> 31GNATURE REGISTEREO 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 /> OTHER �,„I�/� � COMPANY �r/gl�/N ��O-f i�� <br /> SIGNATURE L� G---� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �I l�� 3 �� Qfg E C l r fi License# /�C-I� � ` <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 Permlt for subdivisionsAarge 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 Facilitles&1 dumpster.Site Work Permlt 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 /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over;7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the ovmer)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(PIoUSurveylFootage) <br /> D�iveways-Not over Counter if on public roadways..needs ROW <br />