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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 Permfttin — <br /> Owner's Name L O Owner Phone Number 6 � �3�'��_s-�66 <br /> Owner's Address �7 p (� / Th .S Owner Phone Number � —� <br /> Fee Slmple Titleholder Name Owner Phone Number C � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION � PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TAJC NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q �� DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK �L/L-. //f'G �ACI L LqT !(Y/+�/� <br /> BUILDING 312E 3Q FOOTAGE� HEIGHT ] <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ —� <br /> [�ECHANICAL $ G�� � VALUATION OF MECHANICAL INSTALLATION � �� <br /> � � ��7 <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUtLDER 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 /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa License# C � <br /> MECHANICAL COMPANY �A C"O��j�" � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address yyy �f i✓ 2' ����s License# G���y� <br /> OTHER COMPANY a'��� ��j0 ANG �AS Q A/G� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <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,Constructlon Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)comptete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. <br /> Minimum ten(10)wo�lcing days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Woric 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 constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement is required. (A/C upgrades over s7500} <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 roadways..needs ROW <br />