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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin _. <br /> Owner's Name �..�ph -� � <br /> 'e Owner Phone Number �j,� '7L,s—G��'% <br /> Owner's Address � �J� � Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Addresa <br /> JOB ADDRESS I'T' !/C...° � LOT� � <br /> SUBDIVISION PARCEL�DAt <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT [ J SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �' SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DE3CRIPTION OF WORK �C — �,p� <br /> BUILDING SIZE 3Q FOOTAGE C� HEIGHT <br /> QBUILDING S � VALUATION OF TOTAL CONSTRUCTION <br /> a so o, . <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION �I�� ` � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ��,, !� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO `r <br /> BUILDER G�/�� ,R_„ COMPANY O <br /> SIGNATURE y, ' L�/UXL�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address '�47�GO � � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> PLt1MBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# � —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Addresa License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster;Site Work Permit for subdivisions/targe projects <br /> COMMERCIAL Attach(3)complete sets of Bufld(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new constructlon. <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 compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'""PROPERTY SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over t2500,a Notice of Commencement la requlred. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Onlyj <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />