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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Oate Received ' y� <br /> �� (`� � Phone Contact for Permittin — <br /> Owner's Name ,/(fi<,.t�lf �/� C�-� /I,Lc�[�Q� Owner Phone Number � y� vZC��� �� <br /> Owner's Address ' / �� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��•�/� ��/YJ fJ�.¢ ��'��', ] LOT# ��� <br /> SUBDIVISION SG. � � ! L C.p(� ��pA CEL ID#� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER � <br /> TYPE�F CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � CCC.'� � c�UU (� 5 � Ze S� 2�- <br /> BUILDING SIZE SQ FOOTAGE�] HEIGHT �� <br /> QBUILDING $ � b� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �%3�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUI�DER j COMPIC�IY �I�� ��(�` <br /> SIC�IATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address ' License# � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP, Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding 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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Wor1c PeRnit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-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.Ali commercial r,e�uirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"""PROPERTY SURVEY requfred for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor slgn back of apptication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(fo�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 Appliption Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />