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813-780-0020 City of Zephyrhills Permit Application � I �'.-��j� Fax-813-780-0021 <br /> 8uilding Department � <br /> ��� <br /> Date Received �� '-1 Z, Phone Contact tor Permfttin __ <br /> —flwner's Name ` c� o � / 3 �_^] � 5'Z��, <br /> �� \ Owner Phone Number , , <br /> -'Owner's Add�ess " 1� J D ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> —JOB ADDRESS LOTi� �� <br /> � SUBDIVISI �L � ��� PARCEL�D# <br /> �O6TIVNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> '—DESCRIPTION OF WORK C.. �C L� (� i +(� p L� Z � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> BUILDING S ` �1 �+"1 +� VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> [�ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING a — �`��c.,.J - <br /> ---� \ 0-c\ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � `� , <br /> QGAS � . � ��SL�. <br /> Q ROOFING Q SPECIALTY [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES N ; ��,, �� <br /> ,.�,ti:� , QUEIINE BOGES <br /> ��. :,� Canmission#EE 04052�` <br /> � 12,2f}'� <br /> � ncesm-a��,-;or <br /> BUILDER � COMPANY C,(TZ(I/I'�� � <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 instatled, <br /> Sanitary Facillties 8�1 dumpster;Site Work Permit for subdfvisions/iarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Saiety 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 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 consUuction. <br /> Directlons: <br /> Fill out application completely <br /> Owner&Cont�actor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgradea over 57500) <br /> " Agent(for the contractor)or Pov�r of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMt7TING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(Plot/Survey/Footage) , <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />