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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��� � ,� � �� ���� _ ���� <br /> Phone Contact for Permittin d- <br /> Owner's Name ���'..(�\`�� Conn��l Owner Phone Number <br /> Owner'sAddress � �� ��1�� J� Z- �\15 �-L3��� p�efPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 53�3 1��� �-� �� �,�5 �(� �3Sya LOT# � <br /> SUBDIVISION PARCEL ID# � l ���U �a l �L�l�� �1��J' ���j� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CoNSTR 8 ADD/ALT Q� SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � r�\0..� ���e� l\ � �( C ,��-� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �UMBING $�,..,,,-,, � <br /> U�-� � 3 .� � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <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/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � —� <br /> PLUMBER /�=��C � ��.U`.� ��-�-� COMPANY E-{��115 ����10.(�1S , �(� � <br /> SIGNATURE r`�� REGISTERED Y N FEE CURRE� / <br /> Address S�(�j ����5� z"�\\��S �"�- 33�ua License# �Fe- ���5��� � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J 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)wo�lcing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilfttes&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction P�a�s,Stormwater Plans vv!Silt FPnr.e 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 consVuction. <br /> Directions: <br /> Ffll out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2S00,a Notice of Commencement is required. (A!C upgrades over a7500) <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 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 />