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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 Permittln _ <br /> Owner's Name ` AJ �Q p � o�/ /� � ,v pS prvner Phone Number bl f�7��` �� �s� <br /> Owners Address ��J� p� / d Owner Phone Number �— <br /> Fee Simple Titleholder Name �—�� Owner Phone Number � <br /> Fee Simple Titleholder Address ��l <br /> JOB ADDRESS �( r%, �� ,� ��OfS D /n �/�l a OT# � <br /> SUBDIVISION PARCEL ID#/ a ��y� E��j�2 <br /> OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONS7R� 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 /L�G � �'� O D /`' !�' S�-�/ /� � <br /> BUILDING SIZE SQ FOOTAGE �i0� HEIGHT <br /> OBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> /� aa <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ( ���� <br /> QGAS [�] ROOFING Q SPECIALTY �� OTNER <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> OTHER � �.^'— COMPANY W�G � � �O � ^� �6 � <br /> SIGNATURE -''� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address p�� 0�� � i"� �i'.�.�� /� /1 0 �y�f y' License# �� �-�/ c/�� <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 subdivlsions/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. Requi�ed 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 /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front nf Applic�tion OMy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />