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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 8l� `.Jnz – ��! <br /> Owner's Name S �� £ c�l�Ctir/ �C S1��OT£,s �� Owner Phone Number ��z–���� <br /> Owner's Address �� �ANS i%�+� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �(� �6 GL�i 2 L � , � �j LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR e ADD/ALT � SIGN 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 � Aw p T ,Ducr 1�.s � J` / v� ��d f�/ U�v� ' <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ !�, <br /> . <br /> QMECHANICAL $ ��Lj� VALUATION OF MECHANICAL INSTALLATION � ��--�/ <br /> l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER •�,.`. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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 �/'fR S ��d �(l.�vL �sG'� �'.� C 2,tiC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address G w ZE /7�/ �'� ��, .3�.�rT�� License# �G� y3�Y� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � —� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ehergy 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 Fadlitles&1 dumpster;Site Work Permit 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 instalted, <br /> Sanitary Faci►ities&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 /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatio�,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)Wpuld 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{Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways:.nesds ROW. <br />