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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 Permittin � ` -y ..�,�� � <br /> Owner's Name /'��d ��« Owner Phone Number <br /> Owner's Address �� � � ;r7� ,-/�j,�l Owner Phone Number � -� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS ,� " �-N`�� ° LOT# �� <br /> SUBDIVISION PARCEL IDN 1� G'� ' '�;`� — !�f�(��JLJL�L!C� -- U � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL Q <br /> DESCRIPTION OF WORK � �� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> BUILDING E � .�G�L , VALUATION OF TOTAL CONSTRl��T1AM-� <br /> i . <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ _�`"�� ���„Q�.t�, � . '� J�� <br /> ,�,� � <br /> ��' ���'��� ' . <br /> L Y��z� ; <br /> QMECHANICAL E VALUATION OF MECHANICAL INSTALLATION <br /> �.�� ��5 , <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO J� <br /> BUILDER . � 1� <br /> � s ,�j / OMPANY <br /> SIGNATURE � ( � v�..Q..tc� REGISTERED � 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 CURREA Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� 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 consVuction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes 8 1 dumpster,Site Work Permit for subdivisionsAarge projects <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,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 consUvctlon. <br /> Directions: <br /> Ffll out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over iZ500,a Notice oi Commencement ts requlred. (A/C upgrades over;7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be scmeone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcaUon Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , <br /> Driveways-Not over Counter if on p�Wic roadways..needs ROW <br /> g <br /> ! <br />