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813-780-0020 City of Zephyrhills Permit App{ication Fax-813-780-0021 <br /> Building Department <br /> Date Recelved � �� �3 Phone Contact for Permittin 7Ti� (� — 3.s <br /> Owner's Name � � ' Owner Phone Number �l � — � '1 <br /> Owner's Address �[� � � � Q Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS ���J � �y,. LOT# � <br /> SUBDIVISION W J � f , �ARCEL ID# 'C, � " � � —����, � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN O Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> NPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL [� <br /> DESCRIPTION OF WORK S w y '�C��wS � �O��5 '"' ���z � �j ���_ ,� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ /' ��f� VALUATION OF TOTAL CONSTRUCTION l U <br /> (p ( <br /> , <br /> �ELECTRICAL $ AMP SERVICE , ��y �, _ PROGRESS ENERGY � � �1I�R.E.C. <br /> �r� � j'� �- <br /> QPLUMBING $ �11/� <br /> � � ' � <br /> ( � � , � / '�j "/ ��L/�� <br /> / T <br /> �MECHANICAL $ VALUATION�ECHA C INSTAL TION / --�-' <br /> J ___.�_ <br /> �GAS [� ROOFfNG Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �11Z i,U St� �1 f1� �}�j� SO ( �lD S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address V 1— �o' �L' f � L 3 3�l0 License# �l S t �(� � 1"� <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 installed, <br /> Sanitary Facilities 8 1 dumpster;Site Woric 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,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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over;7500) <br />'" Agent(for the contractor)or Power of Attorney(for the owner)wou�d be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />