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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recei�rad <br /> Phone Contact fo�Permittin _ <br /> Owner's Name �, �� % Owner Phone Number <br /> Owner's Address ���,2 J �i Owner Phone Number � <br /> Fee Stmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ] LOT# � <br /> SUBDIVISION PARCEL iD# JI�j�` -o?/ -v D!6 —/;��d�j - O 1 a„Q <br /> (OBTAINED FR�O�M pROPERTY T�nce►DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK S 1 C�IA/n/ L l N� F�/�C� <br /> BUILDING 312E SQ FOOTAGE �9 � <br /> HEIGHT �� <br /> [�BUILDING $��O�` OG VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR�CAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ i � <br /> � 3 ?o�c�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L,/x <br /> ,�-t <br /> QGAS Q ROOFING [� SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER / / COMPANY AS'C p ��'N�� e v / �/� , <br /> SIGNATURE W � 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�i C —1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� —LY/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Wo�lc Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW constructlon. <br /> u�reciions: • . <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notaNzed <br /> If over s2500,a Notice of Commencement is required. (AlC 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 AppUcation 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 />