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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date,Receivec� �� � 3 2�j � '� �i/� ��C� � Q f�/ <br /> Phone Contact for Permitting / <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owner's Name � ��S �� ��2-`f-Z.�Z....J Owner Phone Number � / J'����— ��.5 � <br /> Owner's Address ��J � �li ���� `-trU- Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� I ���-i h 3 Jy��} L �-� LOT# �� <br /> SUBDIVISION �— PARCEL ID# ��'°2�' _�l���G'O 'fT0�0�� —�� (o G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN 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 � C- L� �� {� CS 3 - ���� � �.,� S�� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION Q <br /> �1� <br /> QELECTRICAL $ AMP SERVICE � �� � ��� W.R.E.0 <br /> 1 �7+�E".,--- <br /> �PLUMBING $ l �✓ . � ��� <br /> � �Jp� <br /> �MECHANICAL $ M VALUATION OF MECHANICAL INSTALLATION' �/,�-� ' �� <br /> V I <br /> OGAS � ROOFING Q SPECIALTY � OTHER L. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY �C� ���� I C /}'tJ Y�}-S'7i,� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� N <br /> Address �� � �pa.� ��[� ��V' � License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111 <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 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 /> Directions:. <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,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 />