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_ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phona Contact Tor Permittin __ <br /> Owner's Name ' � �Q `� Owner Phone Numb�r � � - � �� <br /> � <br /> Owner's Address � �i.�'� � Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS `7 ��� ��(� �� <br /> - LOT� <br /> SUBDIVISION PARCEL IDN <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEW CONSTR 8 ADD/AL7 �— 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 �'��ct_°(' � C� C�� �C° �'�- �'� ��f <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> ECTRICAL s D� �� AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C. <br /> /(� C� <br /> QPLUMBING � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( �`��� <br /> I <br /> OGAS �] ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY � G� L.(� `�C-7 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � c f� ��- License# ��--C��� -�j��� <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 Pertnit for new construction, <br /> Mfnimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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 /> Directlons: <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 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 Appifcatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />