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813-780-002o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received �n r,, ���,/-< �"/� /' p r , `� <br /> Phone Contact for Permittin �� vS <br /> Owners Name -c t. � cc; ����;/ Owner Phone Number • <br /> , _, � � � <br /> Owner's Address ,' `?'?�z.�/ �o '-v� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��J,,/ �� �'r ' ✓ LOT# � <br /> SUBDIVISION � PARCEL IDJ� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q � <br /> � <br /> DESCRIPTION OF WORK G �� � � "�j � <br /> � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ � ��' VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � �� <br /> � (� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION t <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � ` 3 ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� � � COMPANY /> > -� • „� � <br /> SIGNATURE ' ?.� ' � REGISTERED Y/ Na FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN � � COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREA Y/N <br /> Address License# C � <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 Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Woiic 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,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliBes 8 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 application,notarized <br /> If over E2S00,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 owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appllcation 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 />