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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 Permitting ( ��� -- 7 <br /> � � � � � � � � � � r � � <br /> Owner's Name t '"1� �� � S� L Owner Phone Number lQ��— �Y l7L�, — <br /> Owner's Address � v`��`}� Y � "t VV Owner Phone Number <br /> las� � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I � � V LOT# � <br /> SUBDIVISION PARCEL ID# ��� c��' �`'" �1�� �;� I���.)— �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR O COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK V C � 4 � V r � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E.0 <br /> �PLUMBING $ <br /> , 3�� <br /> MECHANICAL $ (y1 VALUATION OF MECHANICAL INSTALLATION � <br /> � ��/U <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> - °-: : : : : C : : : .-C C : : i i : � ��: ' <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 License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL /� � COMPANY 1 Y � I�� � ' � � COr 'J <br /> SIGNATURE (f'� REGISTERED Y/ N FEE CURR Y/N <br /> Address ��\�1 �LV� ����� �� '��S License# C{���'�',� � 3S <br /> : <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 W�rk Permit for subdivisions/large prcjects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life 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,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 /> . <br /> Directions: <br /> Fill out appiication completely <br /> Owner&Contractor sign back of application, notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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 if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways. needs ROW <br />