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913-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ° Building Department <br /> Date Received .. �� `�`J�., phona Contact for Permittin -- <br /> Owner's Name ��� �� �rl�l�5 Owner Phone Number <br /> 335 �t� 5'�• c���Is.`� Owner Phone Number <br /> Owner's Address � <br /> Fee Simple Titleholder Name Owner Phcne Number <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS 394 4'"l SO�-� �� -, � <�'�`��5 ` �- LOT* �� <br /> SUBDIVISION � PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NO710E) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � � CS O r <br /> BUILDING SIZE 3(1 FOOTAGE HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ 0� AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> . <br /> OPLUMBING a �.� <br /> � R <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION /� <br /> 'e. <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# � � <br /> ELECTRICIAN � COMPANY �a�"� �-�t� � ��� <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address �•�-$b���� � �- ��. 335�(o License# �c�oa �3$ 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y f N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-0-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary FaGlities&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,ConsVuction 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 Atfach(2)sets of Engineered Plans. <br /> •"""PROPERTY SURVEY required for all NEW constructlon. <br /> Directlons: <br /> Fil�out appiication completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is required. (AIC upgradea over 57500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized 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 toadways..needs ROW <br />