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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recetved j-�/Q–� Z <br /> Phone Contact for Permfttin – <br /> Owner's Name ✓l � � L� Owner Phone Number � 3 ^� <br /> Owner's Address 8 � ��� ������ � 3 �Owner Phone Number <br /> Fee Simple Titleholder Name j �A1 T �/�Owner Phone Number � <br /> Fee Simple Titleholder Address d � 3.5 <br /> JOB ADDRESS �O ! S'�iY��� 3�J��- LOT# � <br /> SUBDIVISION PARCEL ID# � r. Q D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR = ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR - <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK � <br /> � ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ -"'� ���� VALUATION OF TOTAL CONSTRUCTION <br /> 04 <br /> �ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 3 G�3 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER v r,I � OMPANY ������ <br /> SIGNATURE J REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRtC1AN ,/ " COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess 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/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 Building Plans;(1)set of Energy FoRns;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 subdivisionsRarge projects <br /> COMMERCIAL Attach(3)compiete 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 submittai 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 commerclal 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 applicatfon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> if over:2500,a Notice of Commencement is required. (AIC upgrades over;7500) <br /> " Agent(for the contractor)or Power of Aftomey(for the owner)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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />