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813-�80-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �Date ReLeived <br /> Phone Contact for Permittin �i,3 7 7 -- 7�G$' <br /> Owner's Name ��'r �G�' Owner Phone Number 3 s�- �ay °27�/.S <br /> Owner's Address � ..S/(�• Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS W �3� �Lv Th S( • LOT# � <br /> SUBDIVISION PARCEL iD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK � � • <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> �- j 3��a <br /> [�]MECHANICAL $ ���G�� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � !�(� Z <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— <br /> MECHANICAL COMPANY /1 C�c,�1 �ei2 ' • � <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address License# �— � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address Ucense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for�ew construction, <br /> Minimum ten(10)worfcing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Fadlides&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Ufe 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,ConstrucKion Plans,Stormwater Pfans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compflance <br /> 31GN PERMIT Attach(2)sets of Engineered Plans. <br /> "'""PROPERTY SURVEY required for all NEW consVuctlon. <br /> Directions: <br /> Fill out applicatfon completely. <br /> Owner&Contractor sign back of application,notarized <br /> if over 52500,a Notice of Commencement Is required. (A!C upgradea over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />