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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 Permittln _ <br /> Owner's Name � � � �� ��,�(�`7_S/�/7� <br /> Owner Phone Number � / <br /> Owner's Address LJ �i' ►f' '��(i'� '� �U��� pwner Phone Number � <br /> Fee Simple Titlehoider Name Owner Phone Number � <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS � �2- � d �` S !/��L=�'7� , 2.� �( v��C�S. f C �3� U�� 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 /> PROP03ED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� C.� �.y1�� Q�1� ��(�sC'� — (p�� �C 3 �;�((.�.1 �� <br /> BUILDING 31ZE SQ FOOTACiE�� HEIGHT �� <br /> QBUILDING S� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � � � �f � <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � �' '�' � � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRER 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 Lfcense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REC�ISTERED Y/ N FEE CURRE� Y/�N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facflftles&1 dumpster;Site Work Permit for subdivisfons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Siit Fence installed, <br /> Sanitary FaciliUes 8�1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY requ(red for all NEW consVucUon. <br /> Directtons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicatlon,nota�ized <br /> if over 52500,a Notice of Commencement Ia required. (A/C upgradea 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 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 />