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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 Permitting 3 � - �� <br /> Owner's Name � �� � Owner Phone Number �"� - -3 - <br /> Owner's Address � ✓� Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> ,/ "' � LOT# �] <br /> JOB ADDRESS �'b �� ��� <br /> SUBDIVISION , o �O� �^�7� PARCEL ID# O� -�6- -� �� — � <br /> (OBTAINE FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK I,,./ � � c �"t/I� �i Z C-�an�P C�t1 ( <br /> BUILDING SI7,E SQ FOOTAGE HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRU TION �y� 9� � <br /> Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ 2� <br /> �32�� <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> Q GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ��NO <br /> � t.. , �� <br /> BUILDER '�>COMPANY �STC�✓1 C- <br /> SIGNATURE REGISTERED Y/ N FEE CUR ENT Y/N <br /> Address /1 ��� IJS 'fiv �/ e��wQ el � 33 � License# C�C--� � <br /> ELECTRtC1AN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) <br /> *' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />