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813-780-�020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � Building Department <br /> Date Received � ` Phone Contact for Permittin __ <br /> ,.� ~' �..__. <br /> , <br /> Owner's Name ,S� S U{�1 S Owner Phone Number � 3 /���� <br /> Owner's Address J ! J J Owner Phone Number � —� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS ���� LOT# �� <br /> �J <br /> SUBDIVISION PARCEL ID# ( '^v�tQ' �t„��� Bw��U l O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR 8 ADD/ALT � SIGN Q O 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 �Ut l,(� � P <br /> BUILDING SIZE �--� SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS EAIERGY Q W.R.E.C. <br /> � <br /> OPLUMBING $ ��; G� <br /> ('��' I�lfi ,., � � <br /> �ECHANICAL $ �� VALUATION OF MECHANICAL INSTAL�i4T101�,_.--• � �I�� /� <br /> ._ . � ! <br /> [�GAS Q ROOFING Q SPECIALTY � OTHER /"���• <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO f���w <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 �� t �l� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � 33 � License# r`-'� �� �O' �Q��p <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 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 8 1 dumpster;Site Work Permit for subdivisions/large 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,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 /> ��.a���a <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over a7500) <br />'" Agent(for the contractor)or Power of Aflomey(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs lZOyV ,, <br /> ..,� .. <br />