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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —?p � �Z�" I <br /> Phone Contact for Permittin — <br /> � � P� _ �..�5 _ �. 7� <br /> Owner's Name ° �Ct Owner Phone Number <br /> Owner's Address J �p� r •� . Owner Phone Number � —� <br /> Fee Simpie Titleholder Name � � Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � C� C , � Z 1 I LOT# � <br /> SUBDIVISION �— _� PARCEL ID# � �j ' ��' � ��. Lj/[�Q— (��j�Qpp — Q I�-!O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CoNSTR 8 ADD/ALT � SIGN [� �] 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 G�C�S��1 C :' S i ^o c,� ` 2' • �''f� <br /> BUILDING SIZE SQ FOOTAGE I -1 � HEIGHT g� ] <br /> QBUILDING �� L �� �''� VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> QELECTRICAL $ � �,�C, �t�„� AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.C. <br /> OPLUMBING $ � � /,� - "� <br /> ��___L1�L f�� <br /> OMECHANICAL $ 1 U� 0� VALUATION OF MECHANICAL INSTALLATION � <br /> .7 <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER P' _ � ��.� COMPANY �p —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> ELECTRICIAN ' � ��. � COMPANY S e ! � <br /> SIGNATURE ` � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> PLUMBER n' COMPANY J� � � <br /> SIGNATURE ��( REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL `° "' � I _� ; � COMPANY � C� � � <br /> SIGNATURE �E� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# C <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 Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)compiete 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 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contracto�sign back of application,notarized <br /> If over:2500,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 if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />