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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 8�.3 7�2' �/.� <br /> Owner's Name . � L � Owner Phone Number <br /> Owner's Address J � �,� s .S Gt� 2' �/,6 /�bvmer Phone Number ���— 7g 7i'OlS2s <br /> Fee Simple Titleholder Name � Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [� Z � V' N L V LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q [ <br /> DESCRIPTION OF WORK /� �Pi/� /�/G vH� T <br /> BUILDING SIZE —� SQ FOOTAGE� HEIGHT � <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ,,r� �� Z� <br /> �ECHANICAL $ �i� y� VALUATION OF MECHANICAL INSTALLATION 1s� <br /> p J �I <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <br /> MECHANICAL � COMPANY i2 ,S / �IV� GAJ t� <br /> SIGNATURE �L REGISTERED Y/ N FEE URRE� /N <br /> Address y /���f�✓ Zt /�,' �y� License# �AGO y.3 9 y� <br /> OTHER COMPANY <br /> 31GNATURE 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 /> Minlmum ten(10)wo�lcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 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 Psrmit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwate�Plans w/Silt Fence installed, <br /> Sanitary Faatltles 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 compietely. <br /> Owner&Contractor sign back of application,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 if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public�oadways..needs ROW <br />