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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 - <br /> Owner's Name 1 2 f �C� ✓1 Owner Phone Number � '7 7�- <br /> Owner's Address � ,J vV L e e� Owner Phone Number � <br /> Fee Simple Titleholder Name" Owner Phone Number � <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS 5 ���E l�5 vT�j � � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK A �C- C vtQ v� Q(� Ot.�7- 2� 1 Z 1 � ' �e,✓ �Ul-�'�'� <br /> BUILDING SIZE �- Stl FOOTAGE� HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ � I �' -nj� <br /> l � <br /> �MECHANICAL �� � � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER 73 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �'2� <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# C <br /> PLUMBER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY ���S /�-(� �,q�.vy�J�.s�/ <br /> SIGNATURE �'� REGISTERED Y/ N FEE CURRE� /N <br /> Address ��� I'++� 30 � t l�i V (�� License# ��G��.S 7� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREA Y/N <br /> Address license# C <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 FacfllUes 8 1 dumpster;Site Work Pertnit 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 constructlon. <br /> Minimum ten(10)working days after submittal 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 commercfal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•"•PROPERTY SURVEY required for all NEW consUuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of appiication,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AlC upgrades over 57500} <br /> " Agent(for the contractor)or Power of ABomey(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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />