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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 8�3 78 z __.i D/ <br /> Owner's Name XJ C�J.� T /� T Owner Phone Number � �3 � 7��"y� <br /> Owner's Address (/ l � �/L,TL � �j Owner Phone Number � � <br /> Fee Stmple Titleholder Name —1 Owner Phone Number � � <br /> Fee Simple Titleholder Add►ess <br /> JOB ADDRESS J/R/Y! LOT# �� <br /> SUBDIVISION � � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEw CONS7R 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTtON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��— � j"AG�fQ G� ��G � Z l �V'� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ �� � <br /> �MECHANICAL $ �- o o VALUATION OF MECHANICAL INSTALLATION �� <br /> Z 7 -3 <br /> QGAS Q ROOFING Q SPECIALTY 0 OTNER <br /> FINiSHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License# C <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# C —� <br /> MECHANICAL COMPANY �1�2s �2oQ�livf �i(,S e�L�NG, <br /> SIGNATURE REGISTERED Y/ N F CURRE� Y/N <br /> Address License# �Q Cf� 7 .�q / � <br /> OTHER � � COMPANY <br /> 31GNATURE 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 Fortns;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)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 instailed, <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 construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> '• Agent(for the contractor)or Power of Attomey(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 Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />