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813-780-0020 City of Zephyrhills Permit Application Fax-873-780-0021 <br /> Building Department <br /> Date Received Phone Contact for PermitUn _ <br /> Owner's Name /� Owner Phone Number �(;7 '- ���"���/ �- <br /> Owner's Address �/��F' ��� Owner Phone Number r <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS �G� � ��L`�Zc..� LOT# � <br /> SUBDIVISION �- PARCELID# �l���'Z�`�L•�U '- �SC� ^" d/Q� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ���f/L � � `�L �'�� <br /> c�y�c�- - c..-L <br /> BUILDING SIZE 3Q FOOTAGE C� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �jC��> AMP SERVICE��2�-�- [�i''� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ 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# <br /> „ <br /> ELECTRICIAN _ � COMPANY �GQ `� r.L,� <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> Address � (( � License# -� �Z' �� <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 /> Address License# � <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# � � <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 Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius 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&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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over:7500) <br /> *` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owne�authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />