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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Reoeived • Phone Contact for Permittin – <br /> �wner's Name 7 !�,1, �C � I � 7 r �- Owner Phone Number J���7�^��� � <br /> /� �/ <br /> ners Address S� (�u � � � / Owne�Phone Number 3 S ..� - z ���. --�rs�j <br /> k_ � ^ <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> �jJOB ADDRESS � � 7 I ��vc'"' � ��T r�- LOT# Q <br /> �.SUBDIVISION PARCEL ID#� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION �Q BLOCK Q FRAME Q STEEL Q [ <br /> ��ESCRIPTION OF WORK � � ���R- �Yd- � d�y1'[ <br /> BUILDING SIZE SQ FOOTACE� HEIGHT ] <br /> �OBUILDING $ •� VALUATION OF TOTAL CONSTRUCTIOM 1�g� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� �l�l�s� <br /> � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � ��i n� <br /> QGAS Q ROOFING Q SPECIALTY OTHER � ���� `1""1 <br /> o �� � �- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> .�) — <br /> �UILDER � � ��� � COMPANY �U y`f''G� <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRI� COMPANY /7 _ <br /> SIGNATU E REGISTERED Y/ N FEE URRE� Y/N <br /> Address License# � � <br /> PLUMB COMPANY �C..--1L� <br /> SIGNAT RE REGISTERED Y/ 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,Construction Plans,Stormwater P�ans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large 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 installed, <br /> Sanitary FaciHtfes 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <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 it shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />